Hodges, Blake M

Hodges, Blake M is an individual health care provider with primary practice located at 901 W Greenwood St Ste 1 , Abbeville SC 29620-5727. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hodges, Blake M can be contacted via phone (864) 366-9681.

Contact Information

Primary practice address
901 W Greenwood St Ste 1 Abbeville SC 29620-5727
Fax: (864) 366-5600
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35680 South Carolina

Profile Details

NPI number 1659710440
LBN Legal business name Hodges, Blake M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2013
Last updated Jan 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659710440 NPPES
South Carolina Other 423971 MEDICARE GROUP PTAN
South Carolina Other 3255 MEDICARE GROUP PTAN
South Carolina Other RHC210 MEDICARE GROUP PTAN
South Carolina MEDICAID 356803 MEDICARE GROUP PTAN

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