Provider Demographics
NPI:1457469025
Name:JAMES ROBINSON HODGES, MD
Entity Type:Organization
Organization Name:JAMES ROBINSON HODGES, MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBINSON
Authorized Official - Last Name:HODGES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-465-0811
Mailing Address - Street 1:520 25TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-1252
Mailing Address - Country:US
Mailing Address - Phone:828-465-0811
Mailing Address - Fax:828-465-0811
Practice Address - Street 1:520 25TH AVE NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-1252
Practice Address - Country:US
Practice Address - Phone:828-465-0811
Practice Address - Fax:828-465-0811
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2007-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC21967207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC12442OtherBCBS
NC89-12442Medicaid
NC89-12442Medicaid
NC12442OtherBCBS