Individual
PHAEDRA A HILL-LAZENBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1250 JESSE JEWELL PKWY SE STE 400, GAINESVILLE, GA 30501-3865
(770) 536-9864
(770) 297-5023
Mailing address
1250 JESSE JEWELL PKWY SE STE 400, GAINESVILLE, GA 30501-3865
(770) 536-9864
(770) 297-5023
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-107679
AL
363L00000X
Nurse Practitioner
Primary
RN299320
GA
Other
Enumeration date
01/14/2020
Last updated
02/16/2021
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