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Organization
DAWSON PEDIATRICS,PC
Active
Organization
DAWSON PEDIATRICS,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HONORIO ROWELL BULOS M.D., F.A.A.P. (OWNER-PHYSICIAN)
(706) 216-2771
Entity
Organization
Contact information
Practice address
300 DAWSON COMMONS CIR, SUITE 320, DAWSONVILLE, GA 30534-6268
(706) 216-2771
(706) 216-2944
Mailing address
300 DAWSON COMMONS CIR, SUITE 320, DAWSONVILLE, GA 30534-6268
(706) 216-2771
(706) 216-2944
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
48029
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
728415762A
—
GA
Enumeration date
01/23/2007
Last updated
05/08/2013
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