MEDICARE: CARRIE DANIELLE LAWSON 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
1	174400000X	Specialist	0101242024	VA

General Provider Information

NPI Number	:	1306043302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE DANIELLE LAWSON M.D.

Provider Business Mailing Address
First Line	:	275 COLLIER RD
Second Line	:	SUITE 100-A
City	:	ATLANTA
State	:	GA
Zip	:	30309-1711
Country	:	US
Telephone Number	:	404-352-1235
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 COLLIER RD
Second Line	:	SUITE 100-A
City	:	ATLANTA
State	:	GA
Zip	:	30309-1711
Country	:	US
Telephone Number	:	404-352-1235
Fax Number	:

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

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	08/11/2025

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