Provider Demographics
NPI:1114484201
Name:HILL, YOLANDA
Entity Type:Individual
Prefix:
First Name:YOLANDA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:YOLANDA
Other - Middle Name:RENEE
Other - Last Name:STRONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3422 OHARA DR S
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31206-3844
Mailing Address - Country:US
Mailing Address - Phone:478-319-3818
Mailing Address - Fax:
Practice Address - Street 1:360 HOSPITAL DR STE 110
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217-8052
Practice Address - Country:US
Practice Address - Phone:478-841-2707
Practice Address - Fax:478-841-2708
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-25
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN194911363LF0000X
GAF02191155363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily