Provider Demographics
NPI:1073624870
Name:HODGES, BETH G II (MD)
Entity Type:Individual
Prefix:DR
First Name:BETH
Middle Name:G
Last Name:HODGES
Suffix:II
Gender:F
Credentials:MD
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Mailing Address - Street 1:610 N FAYETTEVILLE ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-4670
Mailing Address - Country:US
Mailing Address - Phone:336-626-6696
Mailing Address - Fax:336-626-1592
Practice Address - Street 1:610 N FAYETTEVILLE ST
Practice Address - Street 2:SUITE 202
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-4670
Practice Address - Country:US
Practice Address - Phone:336-626-6696
Practice Address - Fax:336-626-1592
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2011-02-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9900535207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1210LOtherBLUE CROSS/BLUE SHEILD
NC891210LMedicaid
NC1210LOtherBLUE CROSS/BLUE SHEILD
NC891210LMedicaid