MEDICARE: CARRIE DOZIER NP-C

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	363LF0000X	Family Nurse Practitioner	902901	MS

General Provider Information

NPI Number	:	1164906186
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE DOZIER NP-C

Provider Business Mailing Address
First Line	:	2110 LAKE LOWNDES RD
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39702-9655
Country	:	US
Telephone Number	:	662-798-0445
Fax Number	:

Provider Business Practice Location Address
First Line	:	2110 LAKE LOWNDES RD
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39702-9655
Country	:	US
Telephone Number	:	662-798-0445
Fax Number	:

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

Provider Enumeration Date	:	09/17/2018
Last Update Date	:	12/05/2022

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