Healthcare Provider Details

I. General information

NPI: 1447298880
Provider Name (Legal Business Name): BETHANNE HILL ELBERT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: BETHANNE HILL

II. Dates (important events)

Enumeration Date: 06/04/2006
Last Update Date: 05/12/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4444 GERMANNA HWY SUITE 310
LOCUST GROVE VA
22508-2035
US

IV. Provider business mailing address

4444 GERMANNA HWY SUITE 310
LOCUST GROVE VA
22508-2035
US

V. Phone/Fax

Practice location:
  • Phone: 540-972-6222
  • Fax: 540-972-6299
Mailing address:
  • Phone: 540-972-6222
  • Fax: 540-972-6299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101057113
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: