Individual
PAMELA S HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(706) 475-7643
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(855) 851-4405
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN087812
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
344349
WELLCARE CMO - MCCG
GA
01
—
430057735
RAILROAD MCR - MCCG
GA
01
—
718466789A
PEACHSTATE CMO - MCCG
GA
05
—
718466789A
—
GA
Enumeration date
05/02/2007
Last updated
03/10/2026
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