Provider Demographics
NPI:1811912884
Name:DAWSON, THOMAS F JR (CRNA)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:F
Last Name:DAWSON
Suffix:JR
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 WHITNEY SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-9134
Mailing Address - Country:US
Mailing Address - Phone:919-577-2139
Mailing Address - Fax:
Practice Address - Street 1:1008 WHITNEY SPRINGS CT
Practice Address - Street 2:
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-9134
Practice Address - Country:US
Practice Address - Phone:919-577-2139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC169839367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered