Individual
MS. CHRISTINA MARIE DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
485 VALLEY RD, MOCKSVILLE, NC 27028-2074
(336) 751-8000
(336) 751-8010
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006563
NC
363LF0000X
Family Nurse Practitioner
5006563
NC
Other
Enumeration date
10/31/2013
Last updated
04/10/2024
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