Individual ProviderCynthia DawsonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address14 Madewood, Hattiesburg, MS 39402-7948(601) 268-1516PECOS EnrollmentBased on the most recent information from CMS, provider Cynthia Dawson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1619200136Provider TypeIndividualFull NameDawson, CynthiaCredentialFNPGenderFemaleSole ProprietorNoEnumeration Date9/15/2009Last Updated9/15/2009Contact InformationPractice LocationPractice Address14 Madewood, Hattiesburg, MS 39402-7948Phone(601) 268-1516FaxUnlisted FaxMailing LocationMailing Address14 Madewood, Hattiesburg, MS 39402-7948Phone(601) 268-1516FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseR717436Mississippi