Individual
ALYSSA RAE HODGSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-2212
(404) 712-2000
Mailing address
290 MARTIN LUTHER KING JR DR SE UNIT 4306, ATLANTA, GA 30312-2537
(678) 764-5595
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
269907
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
269907
GA
Other
Enumeration date
11/17/2023
Last updated
11/11/2025
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