Individual
MICHAEL J DAWSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4 LIVE OAK CT, MOULTRIE, GA 31768-6783
(229) 785-2400
Mailing address
1205 S GRANGE AVE STE 510, SIOUX FALLS, SD 57105-0401
(605) 328-8500
(605) 328-8501
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
034811
GA
207RG0100X
Gastroenterology Physician
Primary
9640
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
034811
STATE LICENSE NUMBER
GA
Enumeration date
07/10/2006
Last updated
12/10/2024
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