Individual
BREANNA LYNN HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
613 TOWNE PARK DR W, RINCON, GA 31326-5182
(912) 677-4292
Mailing address
613 TOWNE PARK DR W, RINCON, GA 31326-5182
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
853353346
GA
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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