Individual
MRS. SHANNON LEIGH DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1853
(304) 831-1134
Mailing address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1853
(304) 831-1134
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
725
WV
133V00000X
Registered Dietitian
KY1524
KY
Other
Enumeration date
07/05/2006
Last updated
09/28/2015
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