Individual
ASHLEY LYNN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
482 W BOYCE ST, MANNING, SC 29102-2626
(843) 538-6240
Mailing address
482 W BOYCE ST, MANNING, SC 29102-2626
(843) 538-6240
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
23357
SC
Other
Enumeration date
12/17/2019
Last updated
12/17/2019
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