Organization
RENIA R DOTSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENIA R DOTSON MD (OWNER)
(662) 335-9283
Entity
Organization
Contact information
Practice address
1214 HOSPITAL ST, GREENVILLE, MS 38703-3213
(662) 335-9283
Mailing address
PO BOX 4499, GREENVILLE, MS 38704-4499
(662) 335-9283
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
16993
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015528
—
MS
Enumeration date
04/08/2008
Last updated
04/08/2008
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