Individual
DR. JOHN KERSEY DAWDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 HEALTH CARE DR, GREENVILLE, IL 62246-1155
(618) 664-1380
(618) 664-4239
Mailing address
201 HEALTH CARE DR, GREENVILLE, IL 62246-1155
(618) 664-1380
(618) 664-4239
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0036044169
IL
207Q00000X
Family Medicine Physician
Primary
036044169
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036044169
—
IL
Enumeration date
09/08/2005
Last updated
12/20/2021
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