Individual
MS. CYNTHIA C DOTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
965 AVENT DR STE 105, GRENADA, MS 38901-5045
(662) 227-7575
(662) 227-6575
Mailing address
965 AVENT DR STE 105, GRENADA, MS 38901-5045
(662) 227-7575
(662) 227-6575
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R561126
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02775800
—
MS
Enumeration date
03/15/2006
Last updated
04/11/2012
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