Individual
DR. WAYNE ANTHONY DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
907 E SUNFLOWER RD, SUITE 102, CLEVELAND, MS 38732-2830
(662) 843-8880
(662) 843-2280
Mailing address
907 E SUNFLOWER RD, SUITE 102, CLEVELAND, MS 38732-2830
(662) 843-8880
(662) 843-2280
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16994
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123301
—
MS
Enumeration date
03/23/2006
Last updated
09/04/2007
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