Healthcare Provider Details

I. General information

NPI: 1760187736
Provider Name (Legal Business Name): ASHLYN HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2023
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 SQUIRES PT STE A
DUNCAN SC
29334-8867
US

IV. Provider business mailing address

300 E MCBEE AVE FL 4
GREENVILLE SC
29601-2842
US

V. Phone/Fax

Practice location:
  • Phone: 864-968-5126
  • Fax: 864-968-5128
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number90040
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: