Healthcare Provider Details

I. General information

NPI: 1780660639
Provider Name (Legal Business Name): MICHAEL ANDRE' HILL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2005
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

705 N 8TH AVE STE 2B
DILLON SC
29536-2549
US

IV. Provider business mailing address

506 E CHEVES ST STE 202
FLORENCE SC
29506-2616
US

V. Phone/Fax

Practice location:
  • Phone: 843-841-3846
  • Fax: 843-841-3848
Mailing address:
  • Phone: 843-841-3846
  • Fax: 803-536-0998

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number21888
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code202K00000X
TaxonomyPhlebology Physician
License Number21888
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: