Individual
ASHLEY NICOLE DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4250 S EASON BLVD, TUPELO, MS 38801-6549
(662) 377-5265
Mailing address
PO BOX 787, SALTILLO, MS 38866-0787
(662) 397-8651
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00475
MS
Other
Enumeration date
02/03/2020
Last updated
02/03/2020
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