Individual
DR. JONATHAN ADAM HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
975 E. THIRD STREET, CHATTANOOGA, TN 37403-2147
(423) 778-7608
(423) 778-2360
Mailing address
PO BOX 11225, CHATTANOOGA, TN 37401-2225
(423) 892-5602
(423) 892-5838
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
18129
MS
207L00000X
Anesthesiology Physician
Primary
DO2186
TN
Other
Enumeration date
04/20/2006
Last updated
02/22/2011
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