Provider Demographics
NPI:1033428040
Name:GREENHILL, LORI (RN)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:GREENHILL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3938 OLD PETERSBURG RD
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-2712
Mailing Address - Country:US
Mailing Address - Phone:706-306-9973
Mailing Address - Fax:
Practice Address - Street 1:3938 OLD PETERSBURG RD
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:GA
Practice Address - Zip Code:30907-2712
Practice Address - Country:US
Practice Address - Phone:706-306-9973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-26
Last Update Date:2010-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN184614163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse