IndividualActive
Breanna Hodges
NPI 1194521690 · Developmental Disabilities Clinic/Center · Rincon, GA
Provider details
- NPI number
- 1194521690
- Entity type
- Individual
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 853353346 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
613 Towne Park Dr W
Rincon, GA 31326-5182
Phone: (912) 677-4292
Approximate (ZIP-level) locationGet directions
Mailing address
613 Towne Park Dr W
Rincon, GA 31326-5182
Additional practice locations (1)
- 806 Towne Park DrRincon, GA 31326-9368Phone: (912) 677-4292
Registry dates
- Enumerated
- 2025-02-24
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.