Organization
MIDDLE GA PEDIATRIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLEY HODGIN CCC-SLP (OWNER)
(478) 621-8763
Entity
Organization
Contact information
Practice address
4968 OLD GORDON RD, DRY BRANCH, GA 31020-1510
(478) 621-8763
(678) 302-7270
Mailing address
PO BOX 102, DRY BRANCH, GA 31020-0102
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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