Individual
GREGORY DODDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1135 WALTONS PASS, EVANS, GA 30809-8250
(706) 755-2785
Mailing address
781 OSPREY LN, MARTINEZ, GA 30907-4170
(520) 227-4994
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
RBT-19-96174
GA
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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