Rex Daniel Dodge
PA-C | Pediatric Emergency Medicine | Male
Rex Daniel Dodge, PA-C is a Fayetteville, North Carolina based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Rex Daniel Dodge is
1638 Owen Dr, Fayetteville, North Carolina - 28304-3424. He can be contacted on phone at
910-615-4000.
Rex Daniel Dodge is a sole proprietor of his business.
NPI number (Unique professional ID) for Rex Daniel Dodge is
1184297012 which was assigned by NPPES on 19 Jul, 2021 and it was last updated on 31 Jan, 2023.
Rex Daniel Dodge license number is
0010-13004 for Pediatrics, Pediatric Emergency Medicine (2080P0204X) in North Carolina.
Rex Daniel Dodge has special qualifications to manage emergencies in infants and children.
Complete Profile:
Rex Daniel Dodge basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics, Pediatric Emergency Medicine |
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| Provider Name : | Rex Daniel Dodge |
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| Credential : | PA-C |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Rex Daniel Dodge address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1638 Owen Dr
Fayetteville, NC, 28304-3424
United States |
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| Phone Number : | 910-615-4000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1184297012 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jul, 2021 |
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| Last Updated On : | 31 Jan, 2023 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rex Daniel Dodge are as mentioned. Primary taxonomy code for Rex Daniel Dodge, PA-C is
2080P0204X (Pediatrics, Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | No | | - |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | Yes | 0010-13004 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Rex Daniel Dodge such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 0010-13004 | Other (non-Medicare) | NC | NC Medical Board |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 2000
Fayetteville, NC, 28302-2000
United States |
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| Phone Number : | 910-615-6646 |
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Business Location:
Patients can refer following map for directions to
Rex Daniel Dodge practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.