Organization
BETSY HODDINOTT, PH.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBIE HIGHTOWER (CONTACT PERSON)
(478) 405-5880
Entity
Organization
Contact information
Practice address
1759 INDIANA AVE NE, ATLANTA, GA 30307-2221
(404) 378-7108
Mailing address
PO BOX 27270, MACON, GA 31221-7270
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
650
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00373293A
—
GA
Enumeration date
05/04/2007
Last updated
03/23/2011
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