Individual
PAM G HODGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2464 MAIN ST., PLANTERSVILLE, MS 38862-9775
(662) 842-4877
(662) 842-4330
Mailing address
P.O. BOX 219, PLANTERSVILLE, MS 38862-9775
(662) 842-4877
(662) 842-4330
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R597775
MS
Other
Enumeration date
01/20/2010
Last updated
01/20/2010
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