Individual
JODI STUTTS HOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS.,CCC-A
Contact information
Practice address
1248 HUFFMAN MILL RD STE 200, BURLINGTON, NC 27215-8700
(336) 395-1315
Mailing address
PO BOX 2, 1248 HUFFMAN MILL ROAD, SUITE 200, BURLINGTON, NC 27216-0002
(336) 395-1315
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4267
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902021652
BCBS
NC
05
—
7413050
—
NC
Enumeration date
04/16/2007
Last updated
04/06/2022
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