Ida Johnson Dawson in Raleigh - Physician Assistant

Ida Johnson Dawson - NPI 1194862722

Ida Johnson Dawson is a Physician Assistant in Raleigh, North Carolina. Ida Johnson Dawson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Ida Johnson Dawson is 1194862722. The last update date is 2007-07-08.

Ida Johnson Dawson's current location address is 204 Longview Lake Dr, Raleigh, North Carolina. You can contact this provider via phone number 9192556752. The mailing address for Ida Johnson Dawson is 204 Longview Lake Dr, Raleigh, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Ida Johnson Dawson
Address 204 Longview Lake Dr, Raleigh, North Carolina
Phone Number 9192556752
Fax Number
Sole Proprietor N
Credentials P.A.

NPI Number Detail

NPI Number 1194862722
Provider Enumeration Date 2007-01-31
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 204 Longview Lake Dr
City Raleigh
State North Carolina (NC)
Post Code 276101876
Phone Number 9192556752
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 101111
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Ida Johnson Dawson

What is the unique identification code assigned to Ida Johnson Dawson by the Centers for Medicare & Medicaid Services?

The Ida Johnson Dawson has been issued the NPI (National Provider Identifier) 1194862722. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Ida Johnson Dawson?

The Ida Johnson Dawson is physically situated at 204 Longview Lake Dr, in the city of Raleigh, state of NC, with the postal code 276101876.

What is Ida Johnson Dawson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ida Johnson Dawson is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

When did Ida Johnson Dawson receive its 1194862722 assignment?

The Ida Johnson Dawson was assigned its 1194862722 on 2007-01-31, which is the date when this unique identifier was issued to the organization.

When was the Ida Johnson Dawson's information last updated?

The Ida Johnson Dawson's information was last updated on 2007-07-08.

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