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NPI Code Detail

MEDICARE: AMELIA G. HILL FNP

MEDICARE:   AMELIA G. HILL  FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner22219SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205316858
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA G. HILL FNP
Provider Business Mailing Address
First Line : PO BOX 530062
Second Line :
City : ATLANTA
State : GA
Zip : 30353-0062
Country : US
Telephone Number : 843-695-6071
Fax Number : 843-569-5881
Provider Business Practice Location Address
First Line : 1101 OLD TROLLEY RD STE 300
Second Line :
City : SUMMERVILLE
State : SC
Zip : 29485-5294
Country : US
Telephone Number : 843-376-2670
Fax Number : 843-376-2790
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 06/30/2021

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