Individual
MR. MIKELL BYRON DODD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN,CRNA, MN
Contact information
Practice address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4858
(706) 432-3780
Mailing address
3421 MIKE PADGETT HWY, AUGUSTA, GA 30906-3815
(706) 432-4858
(706) 432-3780
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
RN 112294
GA
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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