Healthcare Provider Details

I. General information

NPI: 1851206049
Provider Name (Legal Business Name): ANNE MARIE HILDEBRANT NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5400 BOWMAN RD STE 100
MACON GA
31210-8879
US

IV. Provider business mailing address

5400 BOWMAN RD STE 100
MACON GA
31210-8879
US

V. Phone/Fax

Practice location:
  • Phone: 478-745-6576
  • Fax: 478-746-0018
Mailing address:
  • Phone: 478-745-6576
  • Fax: 478-746-0018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN-NP312980
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: