Provider Demographics
NPI:1578547832
Name:FERRER, DAWN M (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:M
Last Name:FERRER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:M
Other - Last Name:SCHOLZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1296 SIMS ST STE B
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-3873
Mailing Address - Country:US
Mailing Address - Phone:770-534-1856
Mailing Address - Fax:
Practice Address - Street 1:1296 SIMS ST STE B
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3873
Practice Address - Country:US
Practice Address - Phone:770-534-1856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2021-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA003653363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA100001962AMedicaid
GA97BBHBHMedicare ID - Type Unspecified
GAP36737Medicare UPIN