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NPI Code Detail

MEDICARE: MR. GEORGE STEPHEN DAWSON II M.D.

MEDICARE: MR. GEORGE STEPHEN DAWSON II M.D.
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
1207Y00000XOtolaryngology Physician19676WV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
17283238002OTHERWVCIGNA
27221388OTHERWVAETNA
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4550595497029OTHERWVBCBS

General Provider Information

NPI Number : 1205835568
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GEORGE STEPHEN DAWSON II M.D.
Provider Business Mailing Address
First Line : 3075 US ROUTE 60
Second Line :
City : HUNTINGTON
State : WV
Zip : 25705-8859
Country : US
Telephone Number : 304-528-4600
Fax Number :
Provider Business Practice Location Address
First Line : 3075 US ROUTE 60 STE D220
Second Line :
City : HUNTINGTON
State : WV
Zip : 25705-8859
Country : US
Telephone Number : 304-528-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2005
Last Update Date : 04/23/2025

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