Individual
RITA JOYCE MULLINS-HODGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 CLINIC DR, TARBORO, NC 27886-1935
(252) 823-2105
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 564-4866
(336) 564-4869
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
9900305
NC
207R00000X
Internal Medicine Physician
9900305
NC
208M00000X
Hospitalist Physician
Primary
9900305
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0457197
UNITED HEALTHCARE
NC
01
—
110219164
RAILROAD MEDICARE
NC
01
—
128V7
BCBS
NC
05
—
89128V7
—
NC
01
—
A7139
MEDCOST
NC
Enumeration date
01/20/2006
Last updated
07/19/2023
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