Healthcare Provider Details

I. General information

NPI: 1659112514
Provider Name (Legal Business Name): HILLTOP TELEHEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2024
Last Update Date: 06/04/2024
Certification Date: 06/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2351 BIG PINEY GROVE RD
CLINTON NC
28328-1051
US

IV. Provider business mailing address

5075 MORGANTON RD STE 10C BOX 1172
FAYETTEVILLE NC
28314-1534
US

V. Phone/Fax

Practice location:
  • Phone: 240-821-3154
  • Fax:
Mailing address:
  • Phone: 910-672-7726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name: KARIKA WATKINS-HILL
Title or Position: PHYSICIAN ASSISTANT
Credential: PA-C
Phone: 910-672-7726