Provider Demographics
NPI:1487751673
Name:HODGINS, JUDITH K (DPM)
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:K
Last Name:HODGINS
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1061 PERDUE DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7465
Mailing Address - Country:US
Mailing Address - Phone:919-815-5030
Mailing Address - Fax:
Practice Address - Street 1:201 TURQUOISE CREEK DR
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27513-3498
Practice Address - Country:US
Practice Address - Phone:919-815-5030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2019-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC223213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7908010Medicaid
NC08010OtherBCBS
NC7908010Medicaid
NC08010OtherBCBS