person
Mrs. Modesta S Hanley, FNP
Family Nurse Practitioner in Lilburn, Georgia
NPI 1215115092

Modesta S Hanley is a Family Nurse Practitioner based in Stone Mtn, GA and is specialized in Family. Modesta S Hanley practices in Lilburn, GA and has the professional credentials of FNP. The NPI Number for Modesta S Hanley is 1215115092 and holds a License No. RN098782 NP (Georgia).

The current practice location address for Modesta S Hanley is 4030 Lawrenville Hwy, Lilburn, GA and can be reached out via phone at 770-921-4811.

Location: 4030 Lawrenville Hwy, Lilburn, GA, 30087-5448
person
Provider Profile Details
NPI Number
1215115092
Provider Name
Modesta S Hanley
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
4030 Lawrenville Hwy, Lilburn, GA, 30087-5448
Phone Number
770-921-4811
Fax Number
Provider Enumeration Date
02/05/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4030 Lawrenville Hwy
City
State
Zip
30047
Phone Number
770-921-4811
Fax Number
person
Provider Business Mailing Address Details
Address
4030 Lawrenville Hwy
City
State
Zip
30047
Phone Number
770-921-4811
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN098782 NP (Georgia)
Definition
Definition to come...
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