Provider Demographics
NPI:1528412111
Name:HODGES, EDWARD MURRAY III (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:MURRAY
Last Name:HODGES
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:WAKEMED HEART AND VASCULAR
Mailing Address - Street 2:166 SPRINGBROOK AVE
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520
Mailing Address - Country:US
Mailing Address - Phone:919-861-8939
Mailing Address - Fax:919-359-3430
Practice Address - Street 1:WAKEMED HEART AND VASCULAR
Practice Address - Street 2:166 SPRINGBROOK AVE
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520
Practice Address - Country:US
Practice Address - Phone:919-861-8939
Practice Address - Fax:919-359-3430
Is Sole Proprietor?:No
Enumeration Date:2016-04-20
Last Update Date:2022-04-22
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Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2019-00608207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine