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Individual

BRAD HODGSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, ATC, OT-C

Contact information

Practice address
2801 N DECATUR RD, SUITE 200, DECATUR, GA 30033-5949
(404) 296-5005
(404) 296-2070
Mailing address
2801 N DECATUR RD, SUITE 200, DECATUR, GA 30033-5949
(404) 296-5005
(404) 296-2070

Taxonomy

Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary

Other

Enumeration date
10/03/2006
Last updated
01/23/2012
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