Individual
JOHN CAMERON HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
8818 KAILUA PL, DIAMONDHEAD, MS 39525-3656
(614) 403-2487
Mailing address
8818 KAILUA PL, DIAMONDHEAD, MS 39525-3656
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
79922
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0121015
—
OH
Enumeration date
11/01/2010
Last updated
01/12/2026
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