Provider Demographics
NPI:1619701679
Name:HODNETT, ASHLEY ZIMMERMAN (HAS/HIS)
Entity type:Individual
Prefix:MRS
First Name:ASHLEY
Middle Name:ZIMMERMAN
Last Name:HODNETT
Suffix:
Gender:F
Credentials:HAS/HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5787
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29304-5787
Mailing Address - Country:US
Mailing Address - Phone:864-582-2900
Mailing Address - Fax:
Practice Address - Street 1:1095 IRON ORE RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-2239
Practice Address - Country:US
Practice Address - Phone:864-582-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-30
Last Update Date:2024-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHAS-0726237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist