Individual
ELAINE SHAW HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1550 EATONTON RD, MADISON, GA 30650-4627
(706) 752-0322
(978) 327-7921
Mailing address
516 HILLSIDE RD, MADISON, GA 30650-1768
(706) 752-0865
(706) 752-0806
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31024
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000377968N
—
GA
01
—
942882
BLUE CROSS
GA
01
—
P00225806
RAILROAD MEDICARE
GA
Enumeration date
07/02/2006
Last updated
11/14/2016
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