MRS. Modesta S Hanley, FNP

NPI #1215115092 in Lilburn, Georgia

Provider Information

NPI Number
1215115092
Entity Type
Individual
Name
MRS. Modesta S Hanley, FNP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Practitioner - Family
Credential
FNP
Enumeration Date
Feb 5, 2008
Last Updated
Feb 19, 2008

Practice Location

Address
4030 LAWRENVILLE HWY
Address 2
GEORGIA CLINIC, PC
State
Georgia
ZIP Code
30047
Phone
(770) 921-4811

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - FamilyFamily

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