| Doctor Name: | JOHN STEPHEN DODD |
| NPI Number: | 1003104670 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | NP |
| License Number: | RN117801 |
| Business Practice Address: | 2501 N Patterson St Valdosta, GA - 316021735 |
| Business Phone Number: | 2292594340 |
| Business Fax Number: | 2592594341 |
| Mailing Address: | 2501 N Patterson St, VALDOSTA |
| State: | GA |
| Postal Code: | 316021735 |
| Phone Number: | 2292594340 |
| Fax Number: | 2592594341 |
| NPI Enumeration Date: | 07/18/2011 |
| NPI Last Update Date: | 07/18/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | RN117801 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |