Provider Demographics
NPI:1013384064
Name:NIKKI D. HILL MD LLC
Entity Type:Organization
Organization Name:NIKKI D. HILL MD LLC
Other - Org Name:SKIN OF CULTURE AND HAIR CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:D
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-452-2380
Mailing Address - Street 1:2256 NORTHLAKE PKWY
Mailing Address - Street 2:SUITE 300A
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-4034
Mailing Address - Country:US
Mailing Address - Phone:888-622-1682
Mailing Address - Fax:888-622-1751
Practice Address - Street 1:2256 NORTHLAKE PKWY
Practice Address - Street 2:SUITE 300A
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-4034
Practice Address - Country:US
Practice Address - Phone:888-622-1682
Practice Address - Fax:888-622-1751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA71694207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty