Provider Demographics
NPI:1760573778
Name:DAWKINS, SACHA DAWN (NP)
Entity Type:Individual
Prefix:MRS
First Name:SACHA
Middle Name:DAWN
Last Name:DAWKINS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1483 STEEDLEY RD
Mailing Address - Street 2:
Mailing Address - City:MILLPORT
Mailing Address - State:AL
Mailing Address - Zip Code:35576-3310
Mailing Address - Country:US
Mailing Address - Phone:205-662-3676
Mailing Address - Fax:
Practice Address - Street 1:1100 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39701-5800
Practice Address - Country:US
Practice Address - Phone:662-329-7289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR851902363LF0000X
AL1-076308363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily