Provider Demographics
NPI:1215739552
Name:DAWSON, ANGELA S
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:S
Last Name:DAWSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5160 COAKLEY RD NW
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:OH
Mailing Address - Zip Code:43112-9536
Mailing Address - Country:US
Mailing Address - Phone:740-808-3576
Mailing Address - Fax:
Practice Address - Street 1:81 OBERLE AVE
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:OH
Practice Address - Zip Code:43112-9765
Practice Address - Country:US
Practice Address - Phone:740-808-3576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide