Healthcare Provider Details

I. General information

NPI: 1831148212
Provider Name (Legal Business Name): EARLIE HILL FRANCIS III MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 12/22/2021
Certification Date: 12/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

457 W BIRDIE LN
MAGNOLIA DE
19962-3263
US

IV. Provider business mailing address

457 W BIRDIE LN
MAGNOLIA DE
19962-3263
US

V. Phone/Fax

Practice location:
  • Phone: 607-644-2399
  • Fax:
Mailing address:
  • Phone: 607-644-2399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD050860L
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberC1-0012830
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: