Individual
LESLIE HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
273 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 280-1500
(334) 280-1600
Mailing address
273 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 280-1500
(334) 280-1600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0614358
AL
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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