Provider Demographics
NPI:1386129724
Name:MAY, HANNAH JOY (PA-C)
Entity type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:JOY
Last Name:MAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:HANNAH
Other - Middle Name:JOY
Other - Last Name:GRAVITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:45 HAZELRIDGE LN
Mailing Address - Street 2:
Mailing Address - City:SHARPSBURG
Mailing Address - State:GA
Mailing Address - Zip Code:30277-1930
Mailing Address - Country:US
Mailing Address - Phone:678-877-7209
Mailing Address - Fax:
Practice Address - Street 1:780 CANTON RD NE STE 350
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-8938
Practice Address - Country:US
Practice Address - Phone:404-943-0289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-02
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8113363A00000X
GA9059363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant