Individual
MS. ODETTA MARY DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4579 S COBB DR SE, SUITE 600, SMYRNA, GA 30080-6999
(678) 838-8333
Mailing address
4579 SOUTH COBB DR, SUITE 6, SMYRNA, GA 30080
(404) 543-0393
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
000299
GA
Other
Enumeration date
11/18/2010
Last updated
12/01/2010
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