Individual
JIMMY DAWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2518
Mailing address
2608 W TILGHMAN ST, ALLENTOWN, PA 18104-4261
(347) 251-5471
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
1
MD
Other
Enumeration date
12/25/2023
Last updated
06/14/2024
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