Most Relevant Information
Provider Data
| NPI Number: | 1003441452 |
| Provider Name: | MARY KATELYN HODGES NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 23571 |
Most Important Dates
| Enumeration Date: | 03/05/2020 |
| Last Updated: | 03/05/2020 |
Provider Practice Location
2210 LAURENS RD
GREENVILLE
SC
296073224
Practice Location Phone/Fax
| Phone: | 8642888280 |
| Fax: |
Provider Mailing Location
2210 LAURENS RD
GREENVILLE
SC
296073224
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |