Individual
BONNIE MARIE LEXO-HUDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
976 KILLIAN HILL RD SW, LILBURN, GA 30047-3102
(770) 752-4142
(877) 919-4091
Mailing address
1786 OAK RD, STE B, SNELLVILLE, GA 30078-2220
(770) 925-2526
(770) 921-1770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
084713
GA
Other
Enumeration date
10/24/2018
Last updated
03/02/2020
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