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Organization

HOLISTIC FAMILY HEALTH BY HODGE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CONNIE JEAN HODGE FNP-BC (OWNER)
(662) 420-3264
Entity
Organization

Contact information

Practice address
5699 GETWELL RD STE 3, SOUTHAVEN, MS 38672-7312
(662) 420-3264
Mailing address
3129 PINETREE LOOP S, SOUTHAVEN, MS 38672-9520
(662) 420-3264

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
R858633
MS

Other

Enumeration date
07/14/2017
Last updated
06/16/2018
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