Hodge, Juvonda S

Hodge, Juvonda S is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Hodge, Juvonda S can be contacted via phone (601) 815-1229.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 815-1229
Fax: (601) 815-4570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 24700 Alabama
Allopathic & Osteopathic Physicians / Surgery 208600000X 71993 Georgia
Allopathic & Osteopathic Physicians / Surgery 208600000X 32486 Mississippi

Profile Details

NPI number 1831144260
LBN Legal business name Hodge, Juvonda S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Dec 21st, 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 1831144260 NPPES
Mississippi MEDICAID 00126030
Mississippi MEDICAID 009994070
Mississippi MEDICAID 009994110
Mississippi MEDICAID 264984500
Mississippi Other 51510858
Mississippi Other 020053576
Mississippi Other 51537957
Mississippi Other 17-00211
Mississippi Other 51510674

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