Provider Demographics
NPI:1134177140
Name:HODGES, BELINDA STEPHENS (MD)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:STEPHENS
Last Name:HODGES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BELINDA
Other - Middle Name:
Other - Last Name:STEPHENS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3495 PIEDMONT ROAD, NE
Mailing Address - Street 2:NINE PIEDMONT CENTER
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305
Mailing Address - Country:US
Mailing Address - Phone:404-364-7070
Mailing Address - Fax:478-923-9977
Practice Address - Street 1:1125 TOWNE CENTER VILLAGE DRIVE
Practice Address - Street 2:KAISER PERMANENTE HENRY TOWNE CENTRE MEDICAL CENTER
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253
Practice Address - Country:US
Practice Address - Phone:678-583-6245
Practice Address - Fax:478-923-9977
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA046257208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00871615DMedicaid
GA00871615DMedicaid