Individual
DR. JANINE M DODDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1499 FAIR ROAD, STATESBORO, GA 30458
(912) 486-1533
(912) 871-2396
Mailing address
P.O. BOX 3578, AUGUSTA, GA 30914-3578
(706) 737-4575
(706) 731-5289
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
50254
GA
2085B0100X
Body Imaging Physician
ME26836
SC
2085N0904X
Nuclear Radiology Physician
ME26836
SC
2085P0229X
Pediatric Radiology Physician
ME26836
SC
2085R0202X
Diagnostic Radiology Physician
Primary
50254
GA
2085R0202X
Diagnostic Radiology Physician
ME26836
SC
2085R0204X
Vascular & Interventional Radiology Physician
ME26836
SC
2085U0001X
Diagnostic Ultrasound Physician
ME26836
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1709
MEDICARE GROUP
SC
05
—
268365
—
SC
01
—
8683
MEDICARE GROUP
SC
05
—
919252977A
—
GA
Enumeration date
08/07/2006
Last updated
06/02/2011
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