Individual
SARAH HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-7070
(706) 721-3813
Mailing address
616 LATHROP AVE, REAR AP.2, FOREST PARK, IL 60130-1815
(956) 607-2927
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
92720
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
04/20/2015
Last updated
08/26/2022
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