Individual
SUSAN FAY HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
185 JUSTICE CENTER DR., RUTLEDGE, TN 37861
(865) 828-5247
(865) 828-3594
Mailing address
637 BLACKWELL BRANCH RD, RUTLEDGE, TN 37861-5329
(865) 228-3663
(865) 828-3594
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
0000084284
TN
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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