1750513248 NPI number — MS. JAMIE K DOKSON MS, GENETIC COUNSEL

Table of content: MS. JAMIE K DOKSON MS, GENETIC COUNSEL (NPI 1750513248)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750513248 NPI number — MS. JAMIE K DOKSON MS, GENETIC COUNSEL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DOKSON
Provider First Name:
JAMIE
Provider Middle Name:
K
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MS, GENETIC COUNSEL
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DOKSON
Provider Other First Name:
JAMIE
Provider Other Middle Name:
K
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MS, GENETIC COUNSEL
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1750513248
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1100 JOHNSON FERRY RD NE
Provider Second Line Business Mailing Address:
SUITE 200
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30342-1709
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
404-459-3508
Provider Business Mailing Address Fax Number:
404-257-0792

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 JOHNSON FERRY RD NE
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30342-1709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
404-459-3508
Provider Business Practice Location Address Fax Number:
404-257-0792
Provider Enumeration Date:
08/17/2009

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 170300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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