Individual
DR. CHARLES D. HODGES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8244 E US HIGHWAY 36 STE 1100, AVON, IN 46123-9627
(317) 272-7500
(317) 272-7515
Mailing address
429 N PENNSYLVANIA ST, SUITE 400, INDIANAPOLIS, IN 46204-1815
(317) 791-6691
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01026260
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100217690A
—
IN
Enumeration date
09/29/2005
Last updated
10/08/2018
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