Individual
DR. JOHN MCIVER HODGES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1325 EASTMORELAND AVE, STE 450, MEMPHIS, TN 38104-7535
(901) 543-5499
(901) 726-5889
Mailing address
1325 EASTMORELAND AVE, STE 450, MEMPHIS, TN 38104-7535
(901) 543-5499
(901) 726-5889
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
4796
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101921001
—
AR
Enumeration date
06/21/2005
Last updated
11/19/2014
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