Individual
DR. CHARLES BARTHOLOMEW DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E GRAY ST STE 1002, LOUISVILLE, KY 40202-3906
(502) 584-2029
(502) 584-0873
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
39393
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000708286
ANTHEM- CTS
KY
01
—
000057094N
HUMANA- CTS
KY
05
—
200908720
—
IN
01
—
2432852000
PASSPORT ADVANTAGE
KY
01
—
50020741
PASSPORT
KY
01
—
50031616
PASSPORT- CARDIOTHORACIC SURGERY OF LOUISVILLE
KY
05
—
7100044790
—
KY
01
—
P00627662
TRAVELERS MEDICARE
—
Enumeration date
08/11/2006
Last updated
12/03/2020
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