Organization
LEGACY PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANA CEIDE HODGES M.D. (OWNER/PRACTITIONER)
(910) 483-2646
Entity
Organization
Contact information
Practice address
556 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 483-2646
(910) 483-9470
Mailing address
556 SANDHURST DR, FAYETTEVILLE, NC 28304-4426
(910) 483-2646
(910) 483-9470
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200000824
NC
Other
Enumeration date
06/30/2009
Last updated
07/12/2013
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