| David W. Hodo, M.d., P.a. | |
|
800 Tremont Street Selma AL 36701-5447 | |
| (334) 872-6773 | |
| (334) 874-6257 |
| Full Name | David W. Hodo, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 800 Tremont Street, Selma, Alabama |
| Authorized Official Name and Position | David W. Hodo (PRESIDENT/M.D./PHYSICIAN) |
| Authorized Official Contact | 3348726773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David W. Hodo, M.d., P.a. P.o. Box 1334 800 Tremont Street Selma AL 36702-1334 Ph: (334) 872-6773 | David W. Hodo, M.d., P.a. 800 Tremont Street Selma AL 36701-5447 Ph: (334) 872-6773 |
| NPI Number | 1679836878 |
|---|---|
| Provider Enumeration Date | 06/21/2012 |
| Last Update Date | 06/21/2012 |
| Medicare PECOS PAC ID | 0941456990 |
|---|---|
| Medicare Enrollment ID | O20120808000211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679836878 | NPI | - | NPPES |
| 510-02950 | Other | BCBS | |
| 000002950 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 00005987 (Alabama) | Primary |
| Provider Name | David Ward Hodo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487681672 PECOS PAC ID: 1456476571 Enrollment ID: I20100914000076 |
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