Individual
DR. MICHAEL DAVID HODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-1000
(404) 303-3759
Mailing address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-1000
(404) 303-3759
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
2011-00686
NC
207L00000X
Anesthesiology Physician
45169
KY
207L00000X
Anesthesiology Physician
Primary
64824
GA
207L00000X
Anesthesiology Physician
MD40809
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972724680
—
VA
05
—
7100215820
—
KY
Enumeration date
05/01/2007
Last updated
06/27/2022
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