Basic Information
| Provider Information | |||||||||
| NPI: | 1528197324 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOZIER | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | CHRISTOPHER | ||||||||
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| Credential: | CRNA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 221 SEMEL CIR NW UNIT 259 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303091950 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7062966923 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1640 AIRPORT RD NW | ||||||||
| Address2: | STE 110 | ||||||||
| City: | KENNESAW | ||||||||
| State: | GA | ||||||||
| PostalCode: | 301447038 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6782022074 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2007 | ||||||||
| LastUpdateDate: | 02/17/2008 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 367500000X | RN9220849 | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered | 367500000X | RN151931 | GA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Anesthetist, Certified Registered |
No ID Information.