Doctor Name: | MS. JUDITH ANN DAWSON-WEISS |
NPI Number: | 1275674509 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNP |
License Number: | COA 08481 NP |
Business Practice Address: | 224 E Butler Rd Mauldin, SC - 296622129 |
Business Phone Number: | 8642341282 |
Business Fax Number: | 8642849826 |
Mailing Address: | 709 Pen Del Rd, INMAN |
State: | SC |
Postal Code: | 293499253 |
Phone Number: | 4408647601 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2007 |
NPI Last Update Date: | 11/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | COA 08481 NP |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |