Individual
DR. DARRYL DHAW HODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 HOSPITAL DR, SUITE C, WARNER ROBINS, GA 31088-4207
(478) 922-9281
(478) 929-6293
Mailing address
2400 BELLEVUE RD, SUITE 21-A, DUBLIN, GA 31021-2885
(478) 275-7202
(478) 274-8418
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
062723
GA
207ND0101X
MOHS-Micrographic Surgery Physician
062723
GA
207ND0900X
Dermatopathology Physician
062723
GA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
062723
GA
207NP0225X
Pediatric Dermatology Physician
062723
GA
207NS0135X
Procedural Dermatology Physician
062723
GA
208D00000X
General Practice Physician
062723
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155751983O
—
GA
Enumeration date
10/25/2005
Last updated
04/23/2015
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