Healthcare Provider Details

I. General information

NPI: 1457469025
Provider Name (Legal Business Name): JAMES ROBINSON HODGES, MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 11/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 25TH AVE NW
HICKORY NC
28601-1252
US

IV. Provider business mailing address

520 25TH AVE NW
HICKORY NC
28601-1252
US

V. Phone/Fax

Practice location:
  • Phone: 828-465-0811
  • Fax: 828-465-0811
Mailing address:
  • Phone: 828-465-0811
  • Fax: 828-465-0811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number21967
License Number StateNC

VIII. Authorized Official

Name: DR. JAMES ROBINSON HODGES
Title or Position: MD
Credential: MD
Phone: 828-465-0811