MEDICARE: JAMES ROBINSON HODGES, MD

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
1	207Q00000X	Family Medicine Physician	21967	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	12442	OTHER	NC	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457469025
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES ROBINSON HODGES, MD

Provider Business Mailing Address
First Line	:	520 25TH AVE NW
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-1252
Country	:	US
Telephone Number	:	828-465-0811
Fax Number	:	828-465-0811

Provider Business Practice Location Address
First Line	:	520 25TH AVE NW
Second Line	:
City	:	HICKORY
State	:	NC
Zip	:	28601-1252
Country	:	US
Telephone Number	:	828-465-0811
Fax Number	:	828-465-0811

Authorized Official
Title or Position	:	MD
Name	:	DR. JAMES ROBINSON HODGES
Credential	:	MD
Telephone Number	:	828-465-0811

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	11/15/2007

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