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Individual

ANDREW SHIPE DOTHARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1010 BETHESDA CT, WINSTON SALEM, NC 27103-3019
(336) 277-8800
(336) 277-8850
Mailing address
PO BOX 935983, ATLANTA, GA 31193-5983

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018-00411
NC
207RX0202X
Medical Oncology Physician
Primary
2018-00411
NC

Other

Enumeration date
04/28/2015
Last updated
07/11/2024
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