Provider Demographics
NPI:1811585490
Name:SENCHEREY HILL, MAXINE (FNP)
Entity Type:Individual
Prefix:
First Name:MAXINE
Middle Name:
Last Name:SENCHEREY HILL
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MAXINE
Other - Middle Name:
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:3652 CHAMBLEE DUNWOODY RD STE 4
Mailing Address - Street 2:
Mailing Address - City:CHAMBLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30341-2120
Mailing Address - Country:US
Mailing Address - Phone:770-451-0662
Mailing Address - Fax:
Practice Address - Street 1:3652 CHAMBLEE DUNWOODY RD STE 4
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-2120
Practice Address - Country:US
Practice Address - Phone:770-451-0662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN252397363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty