Individual
MRS. MARY L HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIS
Contact information
Practice address
185 THORNTON DR., FAYETTEVILLE, GA 30214
(770) 329-0427
Mailing address
185 THORNTON DR., FAYETTEVILLE, GA 30214
(770) 329-0427
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
COI001814
GA
1744P3200X
Prosthetics Case Management
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Other
Enumeration date
08/01/2017
Last updated
08/01/2017
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