Individual
CHARLOTTE HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
196 SCOGGINS DR, DEMOREST, GA 30535-5354
(706) 894-3700
Mailing address
4331 THURMON TANNER RD, FLOWERY BRANCH, GA 30542-2829
(678) 513-5700
(770) 879-1851
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
RN042548
GA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN042548
GA
Other
Enumeration date
01/31/2006
Last updated
02/10/2012
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