MEDICARE: DR. MICHAEL STEVEN DAHN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2086S0129X	Vascular Surgery Physician	074240	GA
2	2086S0129X	Vascular Surgery Physician	38328	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114924677
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL STEVEN DAHN MD

Provider Business Mailing Address
First Line	:	PO BOX 116336
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30368-6336
Country	:	US
Telephone Number	:	912-629-7800
Fax Number	:	912-355-5515

Provider Business Practice Location Address
First Line	:	111 PERSIMMONS ST
Second Line	:
City	:	BLUFFTON
State	:	SC
Zip	:	29910-4779
Country	:	US
Telephone Number	:	912-629-7800
Fax Number	:	912-355-1414

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	09/13/2022

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