Provider Demographics
NPI:1548686504
Name:DAWSON, CHRISTOPHER BOYCE (PHARM D)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:BOYCE
Last Name:DAWSON
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4174 ANCIL RD
Mailing Address - Street 2:
Mailing Address - City:BLACKSHEAR
Mailing Address - State:GA
Mailing Address - Zip Code:31516-8480
Mailing Address - Country:US
Mailing Address - Phone:912-288-5751
Mailing Address - Fax:
Practice Address - Street 1:2425 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:WAYCROSS
Practice Address - State:GA
Practice Address - Zip Code:31503-6337
Practice Address - Country:US
Practice Address - Phone:912-285-3939
Practice Address - Fax:912-285-5563
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-13
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA019177183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist