Provider Demographics
NPI:1780771410
Name:DOZIER, RHONWYNN GENNENE (PA-C)
Entity type:Individual
Prefix:MS
First Name:RHONWYNN
Middle Name:GENNENE
Last Name:DOZIER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:RHONWYNN
Other - Middle Name:GENNENE
Other - Last Name:DOZIER-PRATHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1835 SAVOY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1071
Mailing Address - Country:US
Mailing Address - Phone:770-228-1767
Mailing Address - Fax:770-228-7562
Practice Address - Street 1:747 S 8TH ST STE C
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4884
Practice Address - Country:US
Practice Address - Phone:770-228-1767
Practice Address - Fax:770-228-7562
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2020-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA004492363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAQ45526Medicare UPIN