Healthcare Provider Details

I. General information

NPI: 1780342535
Provider Name (Legal Business Name): HANNAH LYNN BUEHLER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2021
Last Update Date: 05/20/2022
Certification Date: 05/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2383 PATE ST N
SNELLVILLE GA
30078-3250
US

IV. Provider business mailing address

2383 PATE ST N
SNELLVILLE GA
30078-3250
US

V. Phone/Fax

Practice location:
  • Phone: 770-972-4845
  • Fax: 770-972-0358
Mailing address:
  • Phone: 770-972-4845
  • Fax: 770-972-0358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number10748
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: