Individual
DR. LEE W HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
797 TEAL DRIVE, CONWAY, AR 72034-8002
(501) 329-2774
(501) 327-0907
Mailing address
PO BOX 1600, CONWAY, AR 72033-1600
(501) 329-2774
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1439
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18895000040
QUAL CHOICE OF ARKANSAS
AR
01
—
2459961
CIGNA
AR
01
—
44-20060
UNITED HEALTH CARE
AR
01
—
5T646
BLUE CROSS BLUE SHIELD
AR
01
—
710847827
PIN
AR
01
—
721190
AETNA
AR
01
—
S02725
NOVA SYSTEMS
AR
Enumeration date
01/20/2006
Last updated
06/24/2011
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