Basic Information
Provider Information
NPI: 1487611752
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAWSON
FirstName: ROSALIND
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 727
Address2:  
City: BEAUFORT
State: SC
PostalCode: 299010727
CountryCode: US
TelephoneNumber: 8438126001
FaxNumber: 8439860010
Practice Location
Address1: 1320 RIBAUT RD
Address2:  
City: PORT ROYAL
State: SC
PostalCode: 299351118
CountryCode: US
TelephoneNumber: 8439860900
FaxNumber: 8439860010
Other Information
ProviderEnumerationDate: 04/28/2006
LastUpdateDate: 06/11/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X15314SCY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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