Individual
AMELIA HEATHER DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
305 GOOSE CREEK LN, CLARKESVILLE, GA 30523-3344
(706) 499-7427
Mailing address
305 GOOSE CREEK LN, CLARKESVILLE, GA 30523-3344
(706) 499-7427
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN247827
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN247827
ADVANCED PRACTICE NP
GA
Enumeration date
08/30/2021
Last updated
08/30/2021
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