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SEAN DOTSON

>> Community/Behavioral Health >> Agencies

Registrant NPI Number: 1023544459

Individual Registrant:
 SEAN  DOTSON 
Gender: M
Sole Proprietor

Location and contact information for practice:
2442 BACK VALLEY RD  LYERLY, GA 30730-5030 US
Tel: 423-991-0034  Fax: --

Contact information for business:
2442 BACK VALLEY RD  LYERLY, GA 30730-5030 US
Tel: 423-991-0034  Fax: --

Registration Information:
NPI: 1023544459
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y251S00000XAgencies
Community/Behavioral Health

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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