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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 9 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 1134158124 NPPES
Georgia MEDICAID 000377968N
Georgia Other 942882
Georgia Other P00225806

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