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NPI Code Detail

MEDICARE: JARRETT S DODD MD

MEDICARE: JARRETT S DODD MD
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
1207Q00000XFamily Medicine Physician0101049540VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3080065406OTHERMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1061189OTHERANTHEM
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780668848
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARRETT S DODD MD
Provider Business Mailing Address
First Line : 1175 CORPORATE PARK DR
Second Line :
City : FOREST
State : VA
Zip : 24551-2238
Country : US
Telephone Number : 434-525-6964
Fax Number : 434-525-4035
Provider Business Practice Location Address
First Line : 1175 CORPORATE PARK DR
Second Line :
City : FOREST
State : VA
Zip : 24551-2238
Country : US
Telephone Number : 434-525-6964
Fax Number : 434-525-4035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2005
Last Update Date : 08/13/2013

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Directions to “ JARRETT S DODD MD” Practice Location

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