Healthcare Provider Details

I. General information

NPI: 1508952631
Provider Name (Legal Business Name): JIMMY SCOTT HILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: JIMMY SCOTT HILL M.D.

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 07/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PEDIATRIC ENT ASSOCIATES 1940 ELMER J. BISSELL ROAD
BIRMINGHAM AL
35243
US

IV. Provider business mailing address

5025 LAKE RUN DRIVE
BIRMINGHAM AL
35242
US

V. Phone/Fax

Practice location:
  • Phone: 205-638-4949
  • Fax: 205-638-4983
Mailing address:
  • Phone: 205-969-0400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YP0228X
TaxonomyPediatric Otolaryngology Physician
License Number21600
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: