Organization
JOHN D HODGSON MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID HODGSON MD (MD/OWNER)
(910) 642-0331
Entity
Organization
Contact information
Practice address
619 JEFFERSON ST, WHITEVILLE, NC 28472-3707
(910) 642-0331
(910) 642-0597
Mailing address
PO BOX 790, WHITEVILLE, NC 28472-0790
(910) 641-0400
(910) 642-5929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72543
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42709
BCBS
NC
05
—
8942709
—
NC
01
—
P00178145
RAILROAD MEDICARE
NC
Enumeration date
02/03/2010
Last updated
02/03/2010
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