Individual
ROBERT A HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-4111
(910) 715-4101
Mailing address
PO BOX 843257, BOSTON, MA 02284-3257
(910) 715-4111
(910) 715-4101
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
03646
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0191260
STATE L&I
WA
05
—
8348690
—
WA
01
—
8939674
CRIME VICTIMS
WA
Enumeration date
06/21/2006
Last updated
03/11/2013
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