Healthcare Provider Details

I. General information

NPI: 1003319872
Provider Name (Legal Business Name): SHEENA TSAI HILL MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2018
Last Update Date: 06/26/2023
Certification Date: 06/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4527 JESSUP GROVE RD
GREENSBORO NC
27410-9407
US

IV. Provider business mailing address

4527 JESSUP GROVE RD
GREENSBORO NC
27410-9407
US

V. Phone/Fax

Practice location:
  • Phone: 336-632-9272
  • Fax:
Mailing address:
  • Phone: 336-632-9272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number2022-03153
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number2022-03153
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: