MEDICARE: DR. KRISTA LEA HILLIARD DC

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	111N00000X	Chiropractor	4916	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4916	OTHER	NC	NC STATE CHIROPRACTIC BOARD OF EXAMINERS

General Provider Information

NPI Number	:	1821579228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KRISTA LEA HILLIARD DC

Provider Business Mailing Address
First Line	:	2 FAIRVIEW HILLS DR
Second Line	:
City	:	FAIRVIEW
State	:	NC
Zip	:	28730-9777
Country	:	US
Telephone Number	:	828-628-7800
Fax Number	:	828-628-4328

Provider Business Practice Location Address
First Line	:	2 FAIRVIEW HILLS DR
Second Line	:
City	:	FAIRVIEW
State	:	NC
Zip	:	28730-9777
Country	:	US
Telephone Number	:	828-628-7800
Fax Number	:	828-628-4328

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

Provider Enumeration Date	:	08/23/2018
Last Update Date	:	08/23/2018

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Directions to “ DR. KRISTA LEA HILLIARD DC” Practice Location

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