Individual
DR. RASEAN T HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 BOULEVARD NE, ATLANTA, GA 30308-2701
(404) 523-0111
(888) 291-6290
Mailing address
619 BOULEVARD NE, ATLANTA, GA 30308-2701
(404) 523-0111
(888) 291-6290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
054221
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
956438296A
—
GA
Enumeration date
06/08/2006
Last updated
01/27/2015
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