Provider Demographics
NPI:1215307152
Name:DOTSON, WILLIAM A (HIS, COHC)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:A
Last Name:DOTSON
Suffix:
Gender:M
Credentials:HIS, COHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 BRYANT ST
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28677-4142
Mailing Address - Country:US
Mailing Address - Phone:704-872-1670
Mailing Address - Fax:704-878-6600
Practice Address - Street 1:703 BRYANT ST
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28677-4142
Practice Address - Country:US
Practice Address - Phone:704-872-1670
Practice Address - Fax:704-878-6600
Is Sole Proprietor?:No
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1472237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist