MEDICARE: MADELINE FRANK DOTSON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		TN

General Provider Information

NPI Number	:	1811827918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADELINE FRANK DOTSON

Provider Business Mailing Address
First Line	:	1451 MUELLER AVE
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37406-1344
Country	:	US
Telephone Number	:	662-739-9530
Fax Number	:

Provider Business Practice Location Address
First Line	:	4618 HIGHWAY 58
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37416-3013
Country	:	US
Telephone Number	:	423-894-5725
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

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