Provider Demographics
NPI:1417269663
Name:HODGSON ATC SERVICES INC.
Entity Type:Organization
Organization Name:HODGSON ATC SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HODGSON ATC SERVICES PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:T
Authorized Official - Last Name:HODGSON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, ATC, OT-C
Authorized Official - Phone:404-296-5005
Mailing Address - Street 1:2801 N DECATUR RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5949
Mailing Address - Country:US
Mailing Address - Phone:404-296-5005
Mailing Address - Fax:
Practice Address - Street 1:2801 N DECATUR RD
Practice Address - Street 2:SUITE 200
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5949
Practice Address - Country:US
Practice Address - Phone:404-296-5005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-03
Last Update Date:2012-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZS0410XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical TechnologistGroup - Single Specialty