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Individual

MR. JONATHAN TANNER HODGIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
310 THE PKWY, GREER, SC 29650-4569
(864) 877-0776
(864) 877-0778
Mailing address
310 THE PKWY, GREER, SC 29650-4569
(864) 877-0776
(864) 877-0778

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MPA.3823
SC
363A00000X
Physician Assistant
Primary
3823
SC
363A00000X
Physician Assistant
Primary

Other

Enumeration date
05/05/2020
Last updated
03/24/2026
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