Provider Demographics
NPI:1962113332
Name:HODGES FELTON, ALPHA ALTHEA
Entity type:Individual
Prefix:
First Name:ALPHA
Middle Name:ALTHEA
Last Name:HODGES FELTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:712 SUMMIT DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-3138
Mailing Address - Country:US
Mailing Address - Phone:229-291-5808
Mailing Address - Fax:
Practice Address - Street 1:712 SUMMIT DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-3138
Practice Address - Country:US
Practice Address - Phone:229-291-5808
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-07
Last Update Date:2022-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor