Individual
MISS NIKKIA LUCAS HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
344 CHATEAUGUAY DR, ELLENWOOD, GA 30294-2957
(678) 697-2890
Mailing address
1316 KINGSTON TRL, DECATUR, GA 30033-3257
(678) 697-2890
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
5542
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
UNKNOWN
GA
Enumeration date
09/06/2022
Last updated
09/06/2022
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