Provider Demographics
NPI:1457667453
Name:ANTHONY W. DAWS M.D.
Entity Type:Organization
Organization Name:ANTHONY W. DAWS M.D.
Other - Org Name:DAWS WELLNESS CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:GENERAL SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:DAWS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-261-7733
Mailing Address - Street 1:107 BROADBENT WAY
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29625-1521
Mailing Address - Country:US
Mailing Address - Phone:864-261-7733
Mailing Address - Fax:864-225-2340
Practice Address - Street 1:107 BROADBENT WAY
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625-1521
Practice Address - Country:US
Practice Address - Phone:864-261-7733
Practice Address - Fax:864-225-2340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-27
Last Update Date:2010-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20806208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000119358BMedicaid
GA52239667OtherBLUE CROSS BLUE SHEILD
SCG15369Medicaid
GAD39711Medicare UPIN