Provider Demographics
NPI:1043411549
Name:HODGES, JANICE HILL (MD)
Entity Type:Individual
Prefix:DR
First Name:JANICE
Middle Name:HILL
Last Name:HODGES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 BENWOOD DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-2113
Mailing Address - Country:US
Mailing Address - Phone:256-259-1022
Mailing Address - Fax:
Practice Address - Street 1:804 BENWOOD DR
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35768-2113
Practice Address - Country:US
Practice Address - Phone:256-259-1022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.4030207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALMD.4030OtherALABAMA MEDICAL LICENSE
ALACSC # 4030OtherAL CONTROLLED SUB REGISTR
ALACSC # 4030OtherAL CONTROLLED SUB REGISTR