Kelly D Dodson in Marietta - Internal Medicine

Kelly D Dodson - NPI 1992902076

Kelly D Dodson is a Internal Medicine in Marietta, Georgia. Kelly D Dodson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kelly D Dodson is 1992902076. The last update date is 2019-10-16.

Kelly D Dodson's current location address is 677 Church St Ne # 111, Marietta, Georgia. You can contact this provider via phone number 7707937750. The mailing address for Kelly D Dodson is 677 Church St Ne # 111, Marietta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Kelly D Dodson
Address 677 Church St Ne # 111, Marietta, Georgia
Phone Number 7707937750
Fax Number
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1992902076
Provider Enumeration Date 2007-07-02
Last Updated Date 2019-10-16

Provider Mailing Address Detail

Address 677 Church St Ne # 111
City Marietta
State Georgia (GA)
Post Code 30060
Phone Number 7707937750
Fax Number

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 62332
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2007-01047 NC NC MEDICAL LICENSE

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FAQs about Kelly D Dodson

What is the Kelly D Dodson's unique identification number?

The Kelly D Dodson has been assigned the NPI (National Provider Identifier) Number 1992902076 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Kelly D Dodson's facilities are geographically located?

The facilities of Kelly D Dodson are physically situated at the following location: 677 Church St Ne # 111, Marietta, GA, 30060.

What is Kelly D Dodson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Kelly D Dodson is Internal Medicine, and the corresponding taxonomy classification code for this specialized field is 207R00000X.

When was the Kelly D Dodson's 1992902076 issued?

The Kelly D Dodson's 1992902076 was issued on 2007-07-02.

As of what date were the details related to Kelly D Dodson most recently updated or revised?

The information pertaining to Kelly D Dodson, including its address, specialty, and other relevant details, was last updated or revised on 2019-10-16.

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