Individual
DR. KAELAN DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-BC
Contact information
Practice address
775 SUNSET DR, ATHENS, GA 30606-2211
(706) 425-1500
Mailing address
3320 OLD JEFFERSON RD BLDG 800, ATHENS, GA 30607-1400
(706) 353-2990
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2019046635
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019046635
—
GA
Enumeration date
03/27/2020
Last updated
07/17/2024
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