IndividualActive
Mary Kate Hodor
NPI 1063299154 · Neonatal Intensive Care Registered Nurse · Dallas, GA
Provider details
- NPI number
- 1063299154
- Entity type
- Individual
- Primary specialty
- Neonatal Intensive Care Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- RN278905 (GA)
Mailing address
152 Adair Ct
Dallas, GA 30157-3826
Registry dates
- Enumerated
- 2023-09-12
- Last updated
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.