# MIDDLE GEORGIA PEDIATRICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982865408
- **Authorized official:** DR. LESLEY EPPS HODGIN EDD, CCC-SLP (OFFICE MANAGER)
- **Authorized official phone:** (478) 731-3677

## Contact information

- **Practice address:** 4149 ARKWRIGHT RD, SUITE D, MACON, GA 31210-1732
- **Practice address phone:** (478) 731-3677
- **Practice address fax:** (478) 405-0363
- **Mailing address:** PO BOX 10, DRY BRANCH, GA 31020-0010
- **Mailing address phone:** (478) 731-3677
- **Mailing address fax:** (478) 405-0363

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/18/2008
- **Last updated:** 06/28/2012