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NPI Code Detail

MEDICARE: CAMMIE A HILLIARD MD

MEDICARE: CAMMIE A HILLIARD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics Physician270859NY
2208000000XPediatrics PhysicianMD.206481LA

General Provider Information

NPI Number : 1023250222
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMMIE A HILLIARD MD
Provider Business Mailing Address
First Line : 5959 S SHERWOOD FOREST BLVD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-6038
Country : US
Telephone Number : 225-765-5727
Fax Number : 225-765-4278
Provider Business Practice Location Address
First Line : 1937 S BURNSIDE AVE
Second Line :
City : GONZALES
State : LA
Zip : 70737-4632
Country : US
Telephone Number : 225-765-5500
Fax Number : 225-644-9286
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2009
Last Update Date : 03/25/2021

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Directions to “ CAMMIE A HILLIARD MD” Practice Location

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