Provider Demographics
NPI:1114985090
Name:DAWSON, JOHN ARLINGTON (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ARLINGTON
Last Name:DAWSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 MILLENIA BLVD STE 650
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32839-6013
Mailing Address - Country:US
Mailing Address - Phone:864-332-3098
Mailing Address - Fax:855-232-3959
Practice Address - Street 1:2001 E GREENVILLE ST
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-1529
Practice Address - Country:US
Practice Address - Phone:864-332-3098
Practice Address - Fax:855-232-3959
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60147677207Q00000X
TN62022207Q00000X
SC14307207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0151523055Medicaid
AL051523055Medicare ID - Type Unspecified
AL0151523055Medicaid