Individual
DR. DAWN S HACKSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1910 BETHEL RD, COLUMBUS, OH 43220-1864
(614) 824-2546
(614) 824-2549
Mailing address
1910 BETHEL RD, COLUMBUS, OH 43220-1864
(614) 824-2546
(614) 824-2549
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35067158
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0176992
—
OH
01
—
275193963051
CARESOURCE
OH
Enumeration date
01/03/2006
Last updated
07/10/2012
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