Provider Demographics
NPI:1760562250
Name:DODDS, GLORIA HEMBREE (DC)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:HEMBREE
Last Name:DODDS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:MS
Other - First Name:GLORIA
Other - Middle Name:NEELY
Other - Last Name:HEMBREE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 1001
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36533-1001
Mailing Address - Country:US
Mailing Address - Phone:251-990-3733
Mailing Address - Fax:
Practice Address - Street 1:913 PLANTATION BLVD
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2949
Practice Address - Country:US
Practice Address - Phone:251-928-1311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1333111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-72839OtherBCBS
ALU13636Medicare UPIN