MODESTA S HANLEY

LILBURN, GA
NPI1215115092
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN098782 NP)
Enumeration Date2008-02-05
Last Update Date2008-02-19
Business Address
Mrs. MODESTA S HANLEY FNP
4030 LAWRENVILLE HWY GEORGIA CLINIC, PC
LILBURN, GA 30047
Phone number: 770-921-4811
Mailing Address
Mrs. MODESTA S HANLEY FNP
526 TRAILSIDE WAY
STONE MTN, GA 30087-5448
Phone number: 770-469-7487