Individual
ELLIOTT DAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2071 GROVE POINT RD, SAVANNAH, GA 31419-9753
(912) 507-9984
Mailing address
2071 GROVE POINT RD, SAVANNAH, GA 31419-9753
(912) 507-9984
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN076001
GA
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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