Provider Demographics
NPI:1023721289
Name:DOLLENS, ABIGAEL RAE (PA)
Entity type:Individual
Prefix:
First Name:ABIGAEL
Middle Name:RAE
Last Name:DOLLENS
Suffix:
Gender:F
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:3701 WOODS EDGE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-6607
Mailing Address - Country:US
Mailing Address - Phone:573-682-7799
Mailing Address - Fax:
Practice Address - Street 1:6301 GASTON AVE
Practice Address - Street 2:STE 300&370
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-3922
Practice Address - Country:US
Practice Address - Phone:469-800-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-03
Last Update Date:2023-01-03
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant