Provider Demographics
NPI:1568060259
Name:DOSSETT, DANIEL PAUL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:PAUL
Last Name:DOSSETT
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 ZEBULON RD UNIT 409
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-2392
Mailing Address - Country:US
Mailing Address - Phone:478-954-4754
Mailing Address - Fax:
Practice Address - Street 1:202 GUNN RD
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:GA
Practice Address - Zip Code:31028-8045
Practice Address - Country:US
Practice Address - Phone:478-953-8118
Practice Address - Fax:478-953-5527
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA032025183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist