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Individual
GARY WAYNE DODD
Active
Individual
GARY WAYNE DODD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP-BC, RN
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
15226
TN
363LA2200X
Adult Health Nurse Practitioner
RN237174
GA
Other
Enumeration date
12/17/2010
Last updated
04/21/2016
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