Individual
KIRKLAND DODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
119 GORDON ST, WASHINGTON, GA 30673-1601
(706) 678-4785
Mailing address
PO BOX 26040, MACON, GA 31221-6040
(478) 475-1299
(478) 405-7928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
040656
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00758832C
—
GA
01
—
110243778
RAILROAD MEDICARE
—
Enumeration date
11/10/2006
Last updated
05/04/2025
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