Healthcare Provider Details

I. General information

NPI: 1871620120
Provider Name (Legal Business Name): LADONNA C HODGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LADONNA ARNEY RN

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 WOODWAY DR
GREER SC
29651-6808
US

IV. Provider business mailing address

206 WOODWAY DR
GREER SC
29651-6808
US

V. Phone/Fax

Practice location:
  • Phone: 828-426-8477
  • Fax: 828-426-8450
Mailing address:
  • Phone: 828-612-7824
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number096341
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: