Hodge, Kenton Donelle

Hodge, Kenton Donelle is an sole proprietor health care provider with primary practice located at 1940 Mountain Industrial Blvd , Tucker GA 30084-6619. He recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as his primary health care specialty. Hodge, Kenton Donelle can be contacted via phone (678) 280-0248.

Contact Information

Primary practice address
1940 Mountain Industrial Blvd Tucker GA 30084-6619
Phone: (678) 280-0248
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 1946 Georgia

Profile Details

NPI number 1780467258
LBN Legal business name Hodge, Kenton Donelle
Credentials LDO
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2023
Last updated Aug 17th, 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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