Individual
DR. REBECCA HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 ALBERTA DR, WINONA, MS 38967-1538
(662) 283-3655
Mailing address
PO BOX 329, KILMICHAEL, MS 39747-0329
(662) 262-7968
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08355
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123674
—
MS
Enumeration date
02/05/2007
Last updated
07/08/2007
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