Provider Demographics
NPI:1699248260
Name:HILL, DANA MARIE (RNP FMP-C)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:MARIE
Last Name:HILL
Suffix:
Gender:F
Credentials:RNP FMP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:391 17TH ST NW UNIT 1052
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30363-1165
Mailing Address - Country:US
Mailing Address - Phone:347-517-9002
Mailing Address - Fax:678-782-6818
Practice Address - Street 1:3579 HIGHWAY 138 SE STE 103
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-4127
Practice Address - Country:US
Practice Address - Phone:770-629-4374
Practice Address - Fax:678-782-6818
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2019-09-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN285016363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care