Individual
HOLLY MCMAHON DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 812-2369
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 812-2369
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
23324
MS
208000000X
Pediatrics Physician
40904
SC
208000000X
Pediatrics Physician
801-L
MS
208000000X
Pediatrics Physician
Primary
84522
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08431337
—
MS
05
—
180328
—
AL
Enumeration date
07/01/2011
Last updated
05/22/2020
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