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Individual

DR. JONATHAN ANDREW HODA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5651 FRIST BLVD STE 603, HERMITAGE, TN 37076-2079
(615) 889-1968
(615) 889-8527
Mailing address
5651 FRIST BLVD STE 603, HERMITAGE, TN 37076-2079
(615) 889-1968

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LL30104
SC
207RC0000X
Cardiovascular Disease Physician
Primary
53648
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
07280861
MS
05
301042
SC
01
P01356934
RAILROAD MEDICARE
MS
Enumeration date
07/03/2007
Last updated
01/27/2022
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