MEDICARE: DR. PATRICIA ANN DODD D.C.

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	111N00000X	Chiropractor	4516	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1093045783	OTHER	NC	NPI

General Provider Information

NPI Number	:	1093045783
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PATRICIA ANN DODD D.C.

Provider Business Mailing Address
First Line	:	PO BOX 6114
Second Line	:
City	:	KINSTON
State	:	NC
Zip	:	28501-0114
Country	:	US
Telephone Number	:	252-468-0664
Fax Number	:

Provider Business Practice Location Address
First Line	:	4010 W. VERNON AVE.
Second Line	:
City	:	KINSTON
State	:	NC
Zip	:	28504
Country	:	US
Telephone Number	:	252-468-0664
Fax Number	:

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

Provider Enumeration Date	:	01/03/2010
Last Update Date	:	01/04/2017

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