Individual
SHANE HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-6272
(478) 633-6269
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-6272
(478) 633-6269
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN198373
GA
363LG0600X
Gerontology Nurse Practitioner
RN198373
GA
Other
Enumeration date
10/28/2015
Last updated
08/06/2020
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