Healthcare Provider Details

I. General information

NPI: 1669447561
Provider Name (Legal Business Name): STEPHEN T HILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 12/07/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

143 ASHELAND AVE
ASHEVILLE NC
28801-4013
US

IV. Provider business mailing address

143 ASHELAND AVE
ASHEVILLE NC
28801-4013
US

V. Phone/Fax

Practice location:
  • Phone: 828-258-9191
  • Fax:
Mailing address:
  • Phone: 828-258-9191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License Number27922
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: