Individual
RENIA R DOTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1727 E UNION ST, GREENVILLE, MS 38703-3253
(662) 332-0040
(662) 332-5008
Mailing address
1636 ANNE STOKES RD, GREENVILLE, MS 38701-6907
(662) 334-9691
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
16993
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015528
—
MS
Enumeration date
09/22/2006
Last updated
01/06/2011
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