Provider Demographics
NPI:1033528104
Name:HILL, TERESITA SENO
Entity Type:Individual
Prefix:
First Name:TERESITA
Middle Name:SENO
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TECY
Other - Middle Name:SENO
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1859 OCONEE CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-3222
Mailing Address - Country:US
Mailing Address - Phone:706-975-0583
Mailing Address - Fax:
Practice Address - Street 1:1859 OCONEE CHURCH RD
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-3222
Practice Address - Country:US
Practice Address - Phone:706-975-0583
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN101874163W00000X
CA649421163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse