Individual provider · NPI-1

Mark Alan Dodd, DO

Family Medicine · Mount Airy, NC

NPI number1184694630
StatusActive
Last updated in NPPESOct 25, 2020

Details

NPI
1184694630
Entity type
Individual (NPI-1)
Name
Mark Alan Dodd
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Jan 26, 2006
Certification date
Sep 29, 2020
Last updated
Oct 25, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine200000400NCYes

Practice location

865 W Lake Dr
Mount Airy, NC 27030-2157

Phone 336-719-6100 · Fax 336-719-2313

Mailing address

Po Box 751803
Charlotte, NC 28275-1803

Phone 336-719-6100 · Fax 336-719-2313

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