Healthcare Provider Details

I. General information

NPI: 1023735511
Provider Name (Legal Business Name): MEGHAN CAROL HILL FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2022
Last Update Date: 11/27/2023
Certification Date: 11/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 WHITE SULPHUR RD STE 120
GAINESVILLE GA
30501-2569
US

IV. Provider business mailing address

PO BOX 742616
ATLANTA GA
30374-2616
US

V. Phone/Fax

Practice location:
  • Phone: 770-219-0963
  • Fax:
Mailing address:
  • Phone: 770-219-8420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN264834
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: