Individual
MS. KASINDA LEE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
125 DECATUR STREET SE, SECOND FLOOR, ATLANTA, GA 30302-2905
(404) 651-3172
Mailing address
3721 RIDGE BROOK TRL, DULUTH, GA 30096-6896
(704) 408-8915
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1284
NC
Other
Enumeration date
12/09/2006
Last updated
07/08/2007
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