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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