Healthcare Provider Details

I. General information

NPI: 1487938320
Provider Name (Legal Business Name): COURTNEY HILLYER OPALACZ PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: COURTNEY ELIZABETH HILLYER

II. Dates (important events)

Enumeration Date: 10/10/2011
Last Update Date: 08/05/2024
Certification Date: 03/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 FREEDOM WAY SUITE 200
YORK PA
17402-8200
US

IV. Provider business mailing address

808 N WASHINGTON ST
SHELBY NC
28150-3858
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-5120
  • Fax: 717-741-3075
Mailing address:
  • Phone: 980-487-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA055130
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: