Provider Demographics
NPI:1558437442
Name:DAWSON, MELANIE ERIN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:ERIN
Last Name:DAWSON
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6308 ROLESVILLE SADDLE DRIVE
Mailing Address - Street 2:
Mailing Address - City:ROLESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27571
Mailing Address - Country:US
Mailing Address - Phone:919-786-5001
Mailing Address - Fax:
Practice Address - Street 1:2406 BLUE RIDGE RD
Practice Address - Street 2:JEFFERS, MANN, ARTMAN PEDIATRICS, SUITE 100
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607
Practice Address - Country:US
Practice Address - Phone:919-786-5001
Practice Address - Fax:909-786-5051
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1000215363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC100215OtherNC LICENSE
NC2760095BMedicare PIN