Healthcare Provider Details

I. General information

NPI: 1841634789
Provider Name (Legal Business Name): DR. OLIVIA MARGARET HULL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2013
Last Update Date: 04/19/2022
Certification Date: 04/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 VILLAGE PROFESSIONAL DR
OPELIKA AL
36801-2381
US

IV. Provider business mailing address

2501 VILLAGE PROFESSIONAL DR
OPELIKA AL
36801-2381
US

V. Phone/Fax

Practice location:
  • Phone: 334-528-1070
  • Fax:
Mailing address:
  • Phone: 334-528-1070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number33999
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License NumberMD.33999
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: