Hodges, Elaine Shaw
Hodges, Elaine Shaw is an individual health care provider with primary practice located at 1550 Eatonton Rd , Madison GA 30650-4627. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hodges, Elaine Shaw can be contacted via phone (706) 752-0322.Contact Information
Primary practice address
1550 Eatonton Rd
Madison GA 30650-4627
Phone: (706) 752-0322
Fax: (978) 327-7921
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 31024 | Georgia |
Profile Details
| NPI number | 1134158124 |
|---|---|
| LBN Legal business name | Hodges, Elaine Shaw |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Nov 14th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134158124 | NPPES |
| Georgia | MEDICAID | 000377968N | |
| Georgia | Other | 942882 | |
| Georgia | Other | P00225806 |
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