Hendley, Donna Elizabeth

Hendley, Donna Elizabeth is an individual health care provider with primary practice located at 132 Old Norton Rd Ste 200 , Fayetteville GA 30215-4873. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Hendley, Donna Elizabeth can be contacted via phone (678) 817-1117.

Contact Information

Primary practice address
132 Old Norton Rd Ste 200 Fayetteville GA 30215-4873
Phone: (678) 817-1117
Fax: (678) 817-0823
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 001694 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 001694 Georgia

Profile Details

NPI number 1093885873
LBN Legal business name Hendley, Donna Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2006
Last updated Aug 18th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093885873 NPPES
Georgia Other 202I976056 MEDICARE PTAN
Georgia MEDICAID 921830442B MEDICARE PTAN

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