Provider Demographics
NPI:1821027137
Name:HODGES, DURWOOD M JR (MD)
Entity Type:Individual
Prefix:
First Name:DURWOOD
Middle Name:M
Last Name:HODGES
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:309 TAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-2421
Mailing Address - Country:US
Mailing Address - Phone:256-259-5313
Mailing Address - Fax:256-259-4923
Practice Address - Street 1:29810 AL HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AL
Practice Address - Zip Code:35958-5240
Practice Address - Country:US
Practice Address - Phone:256-597-4114
Practice Address - Fax:256-597-4115
Is Sole Proprietor?:No
Enumeration Date:2006-06-30
Last Update Date:2023-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ALMD.9279207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALC72358Medicare UPIN
AL000010338Medicare ID - Type Unspecified