Individual
CHARLES ALLEN HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
499 HOLCOMB BRIDGE RD, NORCROSS, GA 30071-2041
(251) 604-5772
Mailing address
499 HOLCOMB BRIDGE RD, NORCROSS, GA 30071-2041
(251) 604-5772
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
YUA327
GA
Other
Enumeration date
08/20/2024
Last updated
08/23/2024
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