Basic Information
| Provider Information | |||||||||
| NPI: | 1023420841 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DAWSON | ||||||||
| FirstName: | ROLITTA | ||||||||
| MiddleName: | MARSHALL | ||||||||
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| Credential: | MSN, CNM | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1908 LENDEW ST | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274087007 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3362732835 | ||||||||
| FaxNumber: | 3362731948 | ||||||||
| Practice Location | |||||||||
| Address1: | 930 3RD ST | ||||||||
| Address2: | |||||||||
| City: | GREENSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 274056967 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3368903200 | ||||||||
| FaxNumber: | 3368903290 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/28/2014 | ||||||||
| LastUpdateDate: | 08/18/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/18/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367A00000X | CNM 540 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Advanced Practice Midwife |
No ID Information.