Organization
FOURTH TREE WELLNESS PLLC
Active
Organization
FOURTH TREE WELLNESS PLLC
Active
Other names
Fourth Tree Health
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL KENNETH HODGE (MANAGING MEMBER, OWNER)
(717) 695-6104
Entity
Organization
Contact information
Practice address
1800 CARLISLE RD, CAMP HILL, PA 17011-5909
(717) 695-6104
(717) 297-6441
Mailing address
1800 CARLISLE RD, CAMP HILL, PA 17011-5909
(717) 695-6104
(717) 297-6441
Taxonomy
Speciality
Code
Description
License number
State
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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