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Individual
MRS. JO ANN DODD
Active
Individual
MRS. JO ANN DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN129380
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00051972B
—
GA
05
—
00058638A
—
GA
05
—
00442945B
—
GA
05
—
00456442N
—
GA
05
—
00479751E
—
GA
01
—
10044114
AMERIGROUP
GA
01
—
338783
WELLCARE
GA
Enumeration date
10/05/2006
Last updated
07/09/2007
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