Provider Demographics
NPI:1689994360
Name:HOWELL, DAWN CELESTE (DAWN HOWELL)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:CELESTE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:DAWN HOWELL
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DAWN HOWELL
Mailing Address - Street 1:865 SOUTH 1ST STREET
Mailing Address - Street 2:
Mailing Address - City:JESUP
Mailing Address - State:GA
Mailing Address - Zip Code:31545
Mailing Address - Country:US
Mailing Address - Phone:912-320-8773
Mailing Address - Fax:
Practice Address - Street 1:1061 HARMON AVE
Practice Address - Street 2:WINN ARMY COMMUNITY HOSPITAL, FORT STEWART
Practice Address - City:HINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:31314-5674
Practice Address - Country:US
Practice Address - Phone:912-435-7001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-04
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1092289.363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant