Provider Demographics
NPI:1770589160
Name:DOZIER, DAVETA BEST (MD)
Entity type:Individual
Prefix:MRS
First Name:DAVETA
Middle Name:BEST
Last Name:DOZIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1415 MOSLEY DR
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36784-3334
Mailing Address - Country:US
Mailing Address - Phone:334-636-9613
Mailing Address - Fax:334-636-9676
Practice Address - Street 1:1415 MOSLEY DR
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:AL
Practice Address - Zip Code:36784-3334
Practice Address - Country:US
Practice Address - Phone:334-636-9613
Practice Address - Fax:334-636-9676
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00010934207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL00994795Medicaid
AL051520467-D0ZMedicare ID - Type Unspecified
AL00994795Medicaid