Individual
MR. CLIFTON DAWSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
110 PAINTERS MILL RD STE 206, OWINGS MILLS, MD 21117-5251
(443) 204-6096
(443) 234-9336
Mailing address
10821 RED RUN BLVD UNIT 191, OWINGS MILLS, MD 21117-8520
(443) 204-6096
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R149435
MD
363LG0600X
Gerontology Nurse Practitioner
R149435
MD
363LP2300X
Primary Care Nurse Practitioner
R149435
MD
Other
Enumeration date
01/13/2020
Last updated
09/01/2025
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