Individual
MRS. DONNA ELIZABETH HENDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
132 OLD NORTON RD STE 200, FAYETTEVILLE, GA 30215-4873
(678) 817-1117
(678) 817-0823
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(678) 817-1117
(678) 817-0823
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001694
GA
363AM0700X
Medical Physician Assistant
001694
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I976056
MEDICARE PTAN
GA
05
—
921830442B
—
GA
Enumeration date
11/08/2006
Last updated
08/18/2020
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