MEDICARE: DR. SCOTT D HODGES D.O.

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	207XS0117X	Orthopaedic Surgery of the Spine Physician	DO001028	TN

General Provider Information

NPI Number	:	1700882867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT D HODGES D.O.

Provider Business Mailing Address
First Line	:	801 BROAD ST STE 101
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37402-2671
Country	:	US
Telephone Number	:	423-904-5560
Fax Number	:	423-760-4438

Provider Business Practice Location Address
First Line	:	801 BROAD ST STE 101
Second Line	:
City	:	CHATTANOOGA
State	:	TN
Zip	:	37402-2671
Country	:	US
Telephone Number	:	423-904-5560
Fax Number	:	423-760-4438

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	01/19/2026

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