MEDICARE: DR. STRANGE LAMIL DAWKINS DPT

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	225100000X	Physical Therapist	P20773	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P20773	OTHER	NC	PT LICENSE

General Provider Information

NPI Number	:	1134897150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STRANGE LAMIL DAWKINS DPT

Provider Business Mailing Address
First Line	:	1300 CORPORATION PKWY STE B
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610-1362
Country	:	US
Telephone Number	:	919-917-7729
Fax Number	:	919-400-4178

Provider Business Practice Location Address
First Line	:	106 FARM BROOK DR UNIT C
Second Line	:
City	:	LUMBERTON
State	:	NC
Zip	:	28358-2178
Country	:	US
Telephone Number	:	919-917-7729
Fax Number	:	919-400-4178

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

Provider Enumeration Date	:	09/03/2021
Last Update Date	:	09/03/2021

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