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NPI Code Detail

MEDICARE: THERIN SCOTT HILL PA-C

MEDICARE: THERIN SCOTT HILL PA-C
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
1363AM0700XMedical Physician AssistantA799SC

General Provider Information

NPI Number : 1932115409
Entity Type Code : Individual
Provider Name (Legal Business Name) : THERIN SCOTT HILL PA-C
Provider Business Mailing Address
First Line : 1522 AUTUMN LN
Second Line :
City : LUGOFF
State : SC
Zip : 29078-9404
Country : US
Telephone Number : 803-729-6477
Fax Number :
Provider Business Practice Location Address
First Line : 15 EXCHANGE DR
Second Line :
City : LUGOFF
State : SC
Zip : 29078-9198
Country : US
Telephone Number : 803-408-3277
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2006
Last Update Date : 09/18/2016

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Directions to “ THERIN SCOTT HILL PA-C” Practice Location

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