Bonnie Blue Dulaney Hodge, MD | |
202 Rock Creek Pkwy, Fairhope, AL 36532-3349 | |
(251) 928-3844 | |
(251) 928-3353 |
Full Name | Bonnie Blue Dulaney Hodge |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 202 Rock Creek Pkwy, Fairhope, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861955429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | MD.41773 (Alabama) | Primary |
Entity Name | Forefront Dermatology Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366936759 PECOS PAC ID: 3779471701 Enrollment ID: O20180911002840 |
Mailing Address | Practice Location Address |
---|---|
Bonnie Blue Dulaney Hodge, MD 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008 | Bonnie Blue Dulaney Hodge, MD 202 Rock Creek Pkwy, Fairhope, AL 36532-3349 Ph: (251) 928-3844 |
Laura Tucker Cepeda, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 202 Rock Creek Pkwy, Fairhope, AL 36532 Phone: 251-928-3844 Fax: 251-928-3353 | |
Dr. Heather R Haley, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 202 Rock Creek Parkway, Fairhope, AL 36532 Phone: 251-928-3844 Fax: 251-928-3353 | |
Hoyt Harris Reynolds, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 200 Rock Creek Pkwy, Fairhope, AL 36532 Phone: 251-928-3844 Fax: 251-928-3353 | |
Dr. Brian Douglas Cheshire, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7550 Assunta Ct, Fairhope, AL 36532 Phone: 251-928-4944 Fax: 251-928-2086 | |
Dr. Robert Alan Clark, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7550 Assunta Ct, Fairhope, AL 36532 Phone: 251-928-4944 Fax: 251-928-2086 |