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Organization

SOUTHERN VASCULAR AND PAIN SURGERY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS D HODGKISS MD (OWNER/PHYSICIAN)
(901) 350-0978
Entity
Organization

Contact information

Practice address
221 MAIN ST, FULTON, KY 42041-1601
(901) 350-0978
(901) 350-0677
Mailing address
921 DENT RD, EADS, TN 38028-9704
(901) 350-0978
(901) 350-0677

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
08/01/2023
Last updated
10/30/2025
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