=====================================================
General NPI Number Information
=====================================================
NPI Number | 1033791439
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTINA ALEXANDRIA DAWSON MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/25/2021
-----------------------------------------------------
Last Update Date | 11/25/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 20925 PROFESSIONAL PLZ STE 100
-----------------------------------------------------
City | ASHBURN
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 20147-3403
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 703-723-8900
-----------------------------------------------------
Fax | 703-723-8400
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PEDIATRIC EDUCATION OFFICE CAMPUS BOX 7593
-----------------------------------------------------
City | CHAPEL HILL
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27599-7593
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 919-966-3172
-----------------------------------------------------
Fax | 919-966-8419
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | 0101282520
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------