Individual
TERRY CLANTON DODDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4355 HICKORY BLVD STE 2, GRANITE FALLS, NC 28630-2014
(828) 757-5040
(828) 757-5041
Mailing address
321 MULBERRY ST SW, MEDICAL STAFF SERVICES, LENOIR, NC 28645-5720
(828) 757-5965
(828) 757-5104
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
31128
NC
208000000X
Pediatrics Physician
ME39446
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
271237700
—
FL
01
—
28792
BCBS
NC
05
—
7928792
—
NC
Enumeration date
02/14/2006
Last updated
03/16/2021
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