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Individual

DAWN MAEDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(706) 505-7782
Mailing address
4005 STEAM MILL RD, COLUMBUS, GA 31907-4819
(706) 505-7782

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN276990
GA
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN276990
GA
163WR0400X
Rehabilitation Registered Nurse
129179
AK

Other

Enumeration date
11/04/2015
Last updated
08/23/2019
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