Healthcare Provider Details

I. General information

NPI: 1801044375
Provider Name (Legal Business Name): PATRICIA CANNINGTON HILL NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/08/2008
Last Update Date: 02/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 CHARTER BLVD STE 100
MACON GA
31210-4881
US

IV. Provider business mailing address

540 CHARTER BLVD 100
MACON GA
31210-4881
US

V. Phone/Fax

Practice location:
  • Phone: 478-471-0227
  • Fax:
Mailing address:
  • Phone: 478-471-0089
  • Fax: 478-471-0708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN060452
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: