Individual
DR. JOHN DAVID HODGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
619 JEFFERSON ST, WHITEVILLE, NC 28472-3707
(910) 642-0331
(910) 642-0597
Mailing address
PO BOX 602530, CHARLOTTE, NC 28260-2530
(910) 642-0331
(910) 642-0597
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27204
NC
208D00000X
General Practice Physician
27204
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568450682
—
NC
05
—
8942709
—
NC
05
—
N27204
—
SC
Enumeration date
10/12/2005
Last updated
12/22/2015
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