Individual
THOMAS D HODGKISS
Active
Individual
THOMAS D HODGKISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
13060
MS
2085R0202X
Diagnostic Radiology Physician
Primary
20801
TN
2085R0202X
Diagnostic Radiology Physician
R4317
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115815
—
MS
05
—
126458001
—
AR
05
—
207729021
—
MO
05
—
3054578
—
TN
01
—
4004657
BCBS TN
TN
01
—
4615497
AETNA
—
01
—
96979
BCBS AR
AR
Enumeration date
07/07/2006
Last updated
12/06/2022
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