Individual
BRANDY DODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4181 HOSPITAL DR NE STE 204, COVINGTON, GA 30014-2541
(770) 788-6534
Mailing address
4181 HOSPITAL DR NE STE 204, COVINGTON, GA 30014-2541
(770) 788-6534
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
AT002178
GA
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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