Provider Demographics
NPI:1902367980
Name:DOZIER, SHELBY FRANCES (RN, BSN)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:FRANCES
Last Name:DOZIER
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 PINE ST
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-2109
Mailing Address - Country:US
Mailing Address - Phone:229-942-5122
Mailing Address - Fax:
Practice Address - Street 1:888 PINE ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-2109
Practice Address - Country:US
Practice Address - Phone:478-633-1560
Practice Address - Fax:478-633-1543
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-30
Last Update Date:2019-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN248977163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE