Healthcare Provider Details

I. General information

NPI: 1649614132
Provider Name (Legal Business Name): DAVID ANDREW HILL MD, FACS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2013
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 OLD MILTON PKWY STE 260
ALPHARETTA GA
30005-4626
US

IV. Provider business mailing address

3333 OLD MILTON PKWY STE 260
ALPHARETTA GA
30005-4626
US

V. Phone/Fax

Practice location:
  • Phone: 770-772-0695
  • Fax: 770-751-0409
Mailing address:
  • Phone: 770-772-0695
  • Fax: 770-751-0409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberR6411
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberR6411
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number87705
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number87705
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: