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NPI Code Detail

MEDICARE: AVIA DOZIER

MEDICARE:   AVIA  DOZIER
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1265939391
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVIA DOZIER
Provider Business Mailing Address
First Line : 162 BOILING SPRINGS LN
Second Line :
City : LEXINGTON
State : SC
Zip : 29073-7682
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 162 BOILING SPRINGS LN
Second Line :
City : LEXINGTON
State : SC
Zip : 29073-7682
Country : US
Telephone Number : 803-622-1417
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2018
Last Update Date : 04/05/2018

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Directions to “ AVIA DOZIER ” Practice Location

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