Provider Demographics
NPI:1275799405
Name:DAWSON, FUI (DPM)
Entity Type:Individual
Prefix:DR
First Name:FUI
Middle Name:
Last Name:DAWSON
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2430 HERODIAN WAY SE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-2980
Mailing Address - Country:US
Mailing Address - Phone:678-679-3300
Mailing Address - Fax:678-679-3430
Practice Address - Street 1:2430 HERODIAN WAY SE
Practice Address - Street 2:SUITE 210
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-2980
Practice Address - Country:US
Practice Address - Phone:678-679-3300
Practice Address - Fax:678-679-3430
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1207213ES0103X
GAPOD001164213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery