Provider Demographics
NPI:1093491581
Name:LEE, HANNAH ASHLEY (PA-C)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:ASHLEY
Last Name:LEE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3830 DANDRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-7182
Mailing Address - Country:US
Mailing Address - Phone:706-267-6330
Mailing Address - Fax:
Practice Address - Street 1:868 BUFORD RD
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-2716
Practice Address - Country:US
Practice Address - Phone:678-284-2006
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-27
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical