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Individual

CHEM HODGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1594 STABLE PARK CT, CORDOVA, TN 38016-6193
(901) 549-3655
Mailing address
1594 STABLE PARK CT, CORDOVA, TN 38016-6193
(901) 549-3655

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
121121441
TN

Other

Enumeration date
08/31/2021
Last updated
08/31/2021
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