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NPI Code Detail

MEDICARE: MCKAYLA GRACE HILL

MEDICARE:   MCKAYLA GRACE 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
1106S00000XBehavior Technician19-102021GA

General Provider Information

NPI Number : 1437782372
Entity Type Code : Individual
Provider Name (Legal Business Name) : MCKAYLA GRACE HILL
Provider Business Mailing Address
First Line : 2363 NORTH CLIFF COLONY DR NE APT L4
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-7837
Country : US
Telephone Number : 706-300-8111
Fax Number :
Provider Business Practice Location Address
First Line : 2363 NORTH CLIFF COLONY DR NE APT L4
Second Line :
City : GAINESVILLE
State : GA
Zip : 30501-7837
Country : US
Telephone Number : 706-300-8111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2020
Last Update Date : 02/19/2020

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Directions to “ MCKAYLA GRACE HILL ” Practice Location

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