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1801132766
JONATHAN WADE HODGES
FORT STEWART, GA
NPI
1801132766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: GA RN184052)
Enumeration Date
2012-12-21
Last Update Date
2015-04-29
Business Address
-- JONATHAN WADE HODGES CRNA
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 912-435-6965
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Mailing Address
-- JONATHAN WADE HODGES CRNA
1061 HARMON AVE STE 1D03
FORT STEWART, GA 31314-5641
Phone number: 706-496-6423
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