Provider Demographics
NPI:1902044118
Name:A. GERRY HODGES, M.D., P.C.
Entity Type:Organization
Organization Name:A. GERRY HODGES, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:G
Authorized Official - Last Name:HODGES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:205-802-6224
Mailing Address - Street 1:200 OFFICE PARK DR STE 314
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35223-2456
Mailing Address - Country:US
Mailing Address - Phone:205-802-6224
Mailing Address - Fax:205-967-2284
Practice Address - Street 1:200 OFFICE PARK DR STE 314
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35223-2456
Practice Address - Country:US
Practice Address - Phone:205-802-6224
Practice Address - Fax:205-967-2284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-26
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL111252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty