Individual
BRIAN DAVID HODGENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 DOCTORS DR, GREENVILLE, SC 29605-4265
(864) 522-6430
(864) 522-6438
Mailing address
300 E MCBEE AVE, GREENVILLE, SC 29601-2842
(803) 434-1335
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
86533
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
865335
—
SC
Enumeration date
05/20/2015
Last updated
04/13/2023
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