Individual
JAVA HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5124 TIMICUAN WAY, SUMMERVILLE, SC 29485-9068
(843) 478-3126
Mailing address
5124 TIMICUAN WAY, SUMMERVILLE, SC 29485-9068
(843) 478-3126
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
215998
SC
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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