MEDICARE: SADE HILL

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
1	374J00000X	Doula

General Provider Information

NPI Number	:	1295319663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SADE HILL

Provider Business Mailing Address
First Line	:	4647 ILLINI DR
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31907-6613
Country	:	US
Telephone Number	:	443-630-8688
Fax Number	:

Provider Business Practice Location Address
First Line	:	3803 ARMOUR AVE
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904-5301
Country	:	US
Telephone Number	:	443-630-6888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/11/2021
Last Update Date	:	05/11/2021

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Directions to “ SADE HILL ” Practice Location

Language	Start Address	Practice Location

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