Provider Demographics
NPI:1306809926
Name:HODGES, ANA CEIDE (MD)
Entity type:Individual
Prefix:DR
First Name:ANA
Middle Name:CEIDE
Last Name:HODGES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:556 SANDHURST DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28304-4426
Mailing Address - Country:US
Mailing Address - Phone:910-483-2646
Mailing Address - Fax:910-483-9470
Practice Address - Street 1:556 SANDHURST DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4426
Practice Address - Country:US
Practice Address - Phone:910-483-2646
Practice Address - Fax:910-483-9470
Is Sole Proprietor?:No
Enumeration Date:2006-04-07
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC20000084208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5912254Medicaid
NC5912254Medicaid