Provider Demographics
NPI:1881623155
Name:MACFARLAND, DAWN LEE (MD)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:LEE
Last Name:MACFARLAND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5187 US ROUTE 60 STE 2
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:WV
Mailing Address - Zip Code:25705-2076
Mailing Address - Country:US
Mailing Address - Phone:304-523-5555
Mailing Address - Fax:304-523-2220
Practice Address - Street 1:5187 US ROUTE 60 STE 2
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25705-2076
Practice Address - Country:US
Practice Address - Phone:304-523-5555
Practice Address - Fax:304-523-2220
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV19790207R00000X
OH35-099580207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2112118Medicaid
KY64943111Medicaid
WV6000072000Medicaid
WVP00924319OtherRR MEDICARE
WVP00924319OtherRR MEDICARE