Individual
RUSSELL E DODDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404 E CALHOUN ST, ANDERSON, SC 29621-5803
(800) 779-4858
(864) 231-6448
Mailing address
404 E CALHOUN ST, ANDERSON, SC 29621-5803
(800) 779-4858
(864) 231-6448
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
14206
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
142063
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000421132A
—
GA
05
—
142063
—
SC
Enumeration date
02/03/2006
Last updated
05/30/2008
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