Individual
MRS. WANDA NICOLE HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
399 BLUE CREEK LN, LOGANVILLE, GA 30052-7834
(478) 719-3207
Mailing address
399 BLUE CREEK LN, LOGANVILLE, GA 30052-7834
(478) 719-3207
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH008598
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2727
—
GA
Enumeration date
03/25/2020
Last updated
03/25/2020
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