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1952419905
PETER A DODGE
CHARLESTON, SC
NPI
1952419905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: SC A766)
Enumeration Date
2006-08-29
Last Update Date
2008-10-30
Business Address
PETER A DODGE PA
171 ASHLEY AVE
CHARLESTON, SC 29425-0001
Phone number: 843-792-1414
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Mailing Address
PETER A DODGE PA
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-1414
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