Provider Demographics
NPI:1023287844
Name:CARL W. DOHN, JR., M.D., P.C.
Entity type:Organization
Organization Name:CARL W. DOHN, JR., M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:W
Authorized Official - Last Name:DOHN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:912-262-9799
Mailing Address - Street 1:2320 HERON ST
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31520-4239
Mailing Address - Country:US
Mailing Address - Phone:912-262-9799
Mailing Address - Fax:912-262-9960
Practice Address - Street 1:2320 HERON ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-4239
Practice Address - Country:US
Practice Address - Phone:912-262-9799
Practice Address - Fax:912-262-9960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA019669207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAE01083Medicare UPIN