Individual
MR. WILLIAM LUKE HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
255 BAPTIST BLVD STE 402, COLUMBUS, MS 39705-2006
(662) 244-2550
Mailing address
2520 5TH ST N, COLUMBUS, MS 39705-2008
(662) 378-7049
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
906351
MS
Other
Enumeration date
09/05/2021
Last updated
04/24/2024
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