Individual
LAUREN HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1345 13TH ST STE Q, COLUMBUS, GA 31901-2338
(045) 965-6704
(706) 653-7800
Mailing address
7351 OLD MOON RD, COLUMBUS, GA 31909-7291
(706) 653-7000
(706) 653-7800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN268630
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN268630
MEDICAL LICENSE
GA
Enumeration date
01/26/2021
Last updated
02/07/2024
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