Individual
MISS JODI M DOUTHIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
240 ASHBOURNE LAKE CT, CLEMMONS, NC 27012-7905
(336) 757-2981
Mailing address
240 ASHBOURNE LAKE COURT, CLEMMONS, NC 27012
(336) 757-2981
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
NC11344
NC
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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