Individual
LISA DODDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4437 MAIN ST, SHALLOTTE, NC 28470-4451
(910) 754-4449
Mailing address
2135 STARDUSTER LN, LITTLE RIVER, SC 29566-9729
(910) 269-9768
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
243002
SC
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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