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Individual

MRS. STACY HALL HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
215 JEP WHEELER RD, WOODSTOCK, GA 30188-6501
(678) 923-1087
(678) 868-2181
Mailing address
347 ARNOLD MILL RD, WOODSTOCK, GA 30188-2835
(770) 354-6664
(678) 868-2181

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT003319
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
527686617-002
BCBS OF GA
GA
Enumeration date
10/24/2006
Last updated
07/08/2007
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