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NPI Code Detail

MEDICARE: DR. AUDREY HILL MD

MEDICARE: DR. AUDREY HILL 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
12084P0800XPsychiatry Physician054898MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2260B56093OTHERMIBCBSM
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487682332
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AUDREY HILL MD
Provider Business Mailing Address
First Line : 1426 KINGS POINTE RD
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8612
Country : US
Telephone Number : 810-953-0604
Fax Number :
Provider Business Practice Location Address
First Line : 1402 S SAGINAW ST
Second Line :
City : FLINT
State : MI
Zip : 48503-3705
Country : US
Telephone Number : 810-257-3676
Fax Number : 810-257-0713
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2006
Last Update Date : 10/23/2024

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