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Individual

DR. HEATHER ROSE DAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
8761 DORCHESTER RD STE 100, NORTH CHARLESTON, SC 29420-7320
(843) 767-3323
(843) 767-4252
Mailing address
PO BOX 13955, CHARLESTON, SC 29422-3955
(843) 767-3323
(843) 767-4252

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
17172
SC
207Q00000X
Family Medicine Physician
Primary
17172
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171726
SC
01
F892010281
PTAN
SC
05
GP6738
SC
Enumeration date
03/25/2006
Last updated
11/03/2023
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