Dodson, Gregory E

Dodson, Gregory E is an individual health care provider with primary practice located at 454 Smith Ave , Thomasville GA 31792-5535. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Dodson, Gregory E can be contacted via phone (229) 227-5510.

Contact Information

Primary practice address
454 Smith Ave Thomasville GA 31792-5535
Phone: (229) 227-5510
Fax: (229) 227-5527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA693 Georgia

Profile Details

NPI number 1699706911
LBN Legal business name Dodson, Gregory E
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jul 30th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699706911 NPPES
Florida MEDICAID 291323200
Florida MEDICAID 100000147B

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