# HODGES CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275959066
- **Authorized official:** DR. DURWOOD HODGES JR. M.D. (PRESIDENT)
- **Authorized official phone:** (256) 574-1566

## Contact information

- **Practice address:** 307 PARKS AVE, SCOTTSBORO, AL 35768-2411
- **Practice address phone:** (256) 574-1566
- **Practice address fax:** (256) 259-0023
- **Mailing address:** PO BOX 1050, SCOTTSBORO, AL 35768-1050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD9279 | AL | Yes |

## Other

- **Enumeration date:** 03/17/2014
- **Last updated:** 03/22/2022
