Individual
ERIKA L DOVIE
Active
Individual
ERIKA L DOVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004281
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004281
PA LICENSE
GA
01
—
01614023
AMERIGROUP
GA
05
—
180899329E
—
GA
Enumeration date
03/09/2006
Last updated
05/04/2012
Update your record
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