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NPI Code Detail

MEDICARE: DR. RODNEY E HILLIS M.D.

MEDICARE:  DR. RODNEY E HILLIS  M.D.
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
12084N0400XNeurology PhysicianME105363FL
22084N0400XNeurology PhysicianMD024239LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
210983217OTHERCAQH
31464VOTHERFLBC BS FL
47906337OTHERFLCIGNA

General Provider Information

NPI Number : 1336138494
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RODNEY E HILLIS M.D.
Provider Business Mailing Address
First Line : 2647 S SAINT ELIZABETH BLVD STE 320
Second Line :
City : GONZALES
State : LA
Zip : 70737-5017
Country : US
Telephone Number : 225-765-5500
Fax Number : 225-644-4206
Provider Business Practice Location Address
First Line : 2647 S SAINT ELIZABETH BLVD
Second Line :
City : GONZALES
State : LA
Zip : 70737-5021
Country : US
Telephone Number : 225-647-8511
Fax Number : 225-644-5213
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 03/25/2021

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Directions to “ DR. RODNEY E HILLIS M.D.” Practice Location

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