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NPI Code Detail

MEDICARE: TAMLA HODGES LCSW

MEDICARE: TAMLA HODGES LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCSW005121GA

General Provider Information

NPI Number : 1275920274
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMLA HODGES LCSW
Provider Business Mailing Address
First Line : 1085 MANOR WAY NW
Second Line :
City : KENNESAW
State : GA
Zip : 30144-6300
Country : US
Telephone Number : 770-827-7098
Fax Number :
Provider Business Practice Location Address
First Line : 3355 LENOX RD NE STE 750
Second Line :
City : ATLANTA
State : GA
Zip : 30326-1353
Country : US
Telephone Number : 404-250-3255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2015
Last Update Date : 04/17/2015

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Directions to “ TAMLA HODGES LCSW” Practice Location

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