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Individual
MR. MIKELL BYRON DODD
Active
Individual
MR. MIKELL BYRON DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN,CRNA, MN
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
RN 112294
GA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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