Individual
DR. KATHERINE J HODGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
301 MED TECH PKWY STE 240, JOHNSON CITY, TN 37604-2641
(423) 794-5520
(423) 282-6940
Mailing address
PO BOX 632476, CINCINNATI, OH 45263-2476
(423) 794-5520
(423) 282-6940
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102203947
VA
207R00000X
Internal Medicine Physician
Primary
2704
TN
207R00000X
Internal Medicine Physician
58-003548
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548576549
—
NC
05
—
1548576549
—
VA
05
—
7100307000
—
KY
05
—
Q006172
—
TN
Enumeration date
08/27/2010
Last updated
02/19/2025
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