Organization
DAVID W. HODO, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W. HODO M.D. (PRESIDENT/M.D./PHYSICIAN)
(334) 872-6773
Entity
Organization
Contact information
Practice address
800 TREMONT STREET, SELMA, AL 36701-5447
(334) 872-6773
(334) 874-6257
Mailing address
P.O. BOX 1334, 800 TREMONT STREET, SELMA, AL 36702-1334
(334) 872-6773
(334) 874-6257
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
00005987
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000002950
—
AL
01
—
510-02950
BCBS
—
Enumeration date
06/21/2012
Last updated
06/21/2012
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