Provider Demographics
NPI:1265522452
Name:HODGES, TERI LYNN (MD)
Entity type:Individual
Prefix:DR
First Name:TERI
Middle Name:LYNN
Last Name:HODGES
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Gender:F
Credentials:MD
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Mailing Address - Street 1:9625 KROGER PARK DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-5880
Mailing Address - Country:US
Mailing Address - Phone:865-531-8100
Mailing Address - Fax:865-539-0909
Practice Address - Street 1:9625 KROGER PARK DR
Practice Address - Street 2:SUITE 500
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-5880
Practice Address - Country:US
Practice Address - Phone:865-531-8100
Practice Address - Fax:865-539-0909
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2012-02-02
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Provider Licenses
StateLicense IDTaxonomies
TN021450207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNB98031Medicare UPIN