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Contact Information

JOHN M HODGES SR, MD
1325 EASTMORELAND AVE
STE 450
MEMPHIS, TN38104-7535
 Phone: 901-543-5499
 Fax: 901-726-5889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JOHN M HODGES SR · (Male)

NPI # 1457357907
Status Active
Credentials MD
Entity Individual
Enumeration date 06/21/2005
Last updated 11/19/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • TN License # 4796
  • AR Medicaid 101921001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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