Healthcare Provider Details

I. General information

NPI: 1801445606
Provider Name (Legal Business Name): DEJANE DOZIER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2019
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10692 MEDLOCK BRIDGE RD
JOHNS CREEK GA
30097-1890
US

IV. Provider business mailing address

10692 MEDLOCK BRIDGE RD
JOHNS CREEK GA
30097-1890
US

V. Phone/Fax

Practice location:
  • Phone: 404-446-2496
  • Fax:
Mailing address:
  • Phone: 404-446-2496
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberCNM335682
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: