Provider Demographics
NPI:1720601255
Name:SASINE, DAWN LIEBER (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:LIEBER
Last Name:SASINE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:164 W WIEUCA RD NE STE 7
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-3231
Mailing Address - Country:US
Mailing Address - Phone:404-255-3022
Mailing Address - Fax:404-843-3707
Practice Address - Street 1:164 W WIEUCA RD NE STE 7
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-3231
Practice Address - Country:US
Practice Address - Phone:404-255-3022
Practice Address - Fax:404-843-3707
Is Sole Proprietor?:No
Enumeration Date:2020-05-19
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH031474183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist