Individual
MOLLIE DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 HOWELL ST, SPARTA, TN 38583-1008
(931) 739-0048
(931) 739-0047
Mailing address
705 HOWELL ST, SPARTA, TN 38583-1008
(931) 739-0048
(931) 739-0047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37380
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4116258
—
TN
Enumeration date
06/13/2005
Last updated
01/23/2014
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