Individual
MELISSA KAY HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
222 E MEDICAL LN STE 101, WEST COLUMBIA, SC 29169-4850
(803) 739-3660
(803) 739-3663
Mailing address
BUILDING 9205 WATKINS AVE, FORT BENNING, GA 31905
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3277
SC
Other
Enumeration date
06/06/2012
Last updated
11/06/2020
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