Individual
MARGARET LEE DORSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
006464
GA
363A00000X
Physician Assistant
0110004199
VA
363A00000X
Physician Assistant
Primary
2431
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006464
GA LICENSE NUMBER
GA
Enumeration date
06/13/2012
Last updated
05/16/2016
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