MEDICARE: DR. DONALD W DOLCE MD,CSA

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	363AS0400X	Surgical Physician Assistant	2642	GA

General Provider Information

NPI Number	:	1972536944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DONALD W DOLCE MD,CSA

Provider Business Mailing Address
First Line	:	4405 NORTHSIDE PARKWAY NW
Second Line	:	SUITE #2207
City	:	ATLANTA
State	:	GA
Zip	:	30327
Country	:	US
Telephone Number	:	678-819-3776
Fax Number	:

Provider Business Practice Location Address
First Line	:	4405 NORTHSIDE PKWY NW
Second Line	:	SUITE #2207
City	:	ATLANTA
State	:	GA
Zip	:	30327-5202
Country	:	US
Telephone Number	:	678-819-3776
Fax Number	:

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	07/08/2007

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