Individual
TERRY DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5736 MANCHESTER HWY, MORRISON, TN 37357-7503
(931) 815-3871
(931) 815-3876
Mailing address
51 BECK LN, MCMINNVILLE, TN 37110-7462
(931) 247-0677
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
76152
TN
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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