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Individual

THOMAS DODSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
029629
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1170419
UNITED HEALTHCARE
GA
01
273472
BLUE CROSS BLUE SHEILD
GA
01
537314
US HEALTHCARE
GA
01
Y 19980601
PHCS
GA
Enumeration date
07/14/2006
Last updated
07/08/2007
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