Healthcare Provider Details

I. General information

NPI: 1144725003
Provider Name (Legal Business Name): JEREMY LOUIS HILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2018
Last Update Date: 07/21/2023
Certification Date: 07/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 E WENDOVER AVE STE 310
GREENSBORO NC
27401-1231
US

IV. Provider business mailing address

301 E WENDOVER AVE STE 310
GREENSBORO NC
27401-1231
US

V. Phone/Fax

Practice location:
  • Phone: 336-832-3070
  • Fax:
Mailing address:
  • Phone: 336-832-3075
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0008X
TaxonomyNeuromuscular Medicine (Psychiatry & Neurology) Physician
License Number2023-00028
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number202300028
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: