Individual
KATIE HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1115 S MAIN ST, BEL AIR, MD 21014-5460
(410) 879-7404
Mailing address
4940 BUCKS SCHOOL HOUSE RD, BALTIMORE, MD 21237-3321
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005938
MD
Other
Enumeration date
10/14/2015
Last updated
10/03/2016
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