Individual
DR. JERRICA LANISE DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD, MS
Contact information
Practice address
2499 RED BARN RD SW, MARIETTA, GA 30064-4905
(770) 316-5497
Mailing address
1750 POWDER SPRINGS RD SW, SUITE 190, PMB 295, MARIETTA, GA 30064-4861
(770) 316-5497
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03223091
OH
183500000X
Pharmacist
PS34036
FL
183500000X
Pharmacist
Primary
RPH22274
GA
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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