Individual
DR. AWTRY STEPHEN DAWES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
701 GROVE RD, GREENVILLE HOSPITAL SYSTEM MIPH, GREENVILLE, SC 29605-5611
(864) 455-7802
Mailing address
123 SHALLOWFORD RD, GREENVILLE, SC 29607-3311
(864) 294-3031
(864) 294-2465
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
264
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PSO125
—
SC
Enumeration date
09/21/2006
Last updated
07/08/2007
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