MEDICARE: MICHAEL ANDRE' 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
1	202K00000X	Phlebology Physician	21888	SC
2	208600000X	Surgery Physician	21888	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	57680010-012	OTHER	SC	BCBS
2	20003459	OTHER	SC	FIRST CHOICE
3	9645030	OTHER	SC	GHI
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	A6765	OTHER	SC	MEDCOST

General Provider Information

NPI Number	:	1780660639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL ANDRE' HILL MD

Provider Business Mailing Address
First Line	:	506 E CHEVES ST STE 202
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29506-2616
Country	:	US
Telephone Number	:	843-841-3846
Fax Number	:	803-536-0998

Provider Business Practice Location Address
First Line	:	705 N 8TH AVE STE 2B
Second Line	:
City	:	DILLON
State	:	SC
Zip	:	29536-2549
Country	:	US
Telephone Number	:	843-841-3846
Fax Number	:	843-841-3848

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/21/2005
Last Update Date	:	06/13/2023

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Directions to “ MICHAEL ANDRE' HILL MD” Practice Location

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