Individual
DR. HERBERT SHUBERT DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
523 DIXON RD, KNOXVILLE, TN 37934-1308
(865) 671-3676
Mailing address
523 DIXON RD, KNOXVILLE, TN 37934-1308
(865) 671-3676
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD0000005025
TN
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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