Individual
SAMANTHA MARIE HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CPNP-AC
Contact information
Practice address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 785-5437
Mailing address
812 CARLYLE LK APT 812, DECATUR, GA 30033-4624
(956) 467-3084
Taxonomy
Speciality
Code
Description
License number
State
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
RN315782
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/04/2024
Last updated
03/03/2025
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