Provider Demographics
NPI:1083804819
Name:HILL, TONI R (PD, ST, CBE)
Entity Type:Individual
Prefix:MRS
First Name:TONI
Middle Name:R
Last Name:HILL
Suffix:
Gender:F
Credentials:PD, ST, CBE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 BARNES ST
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38804-2137
Mailing Address - Country:US
Mailing Address - Phone:662-255-8283
Mailing Address - Fax:
Practice Address - Street 1:505 BARNES ST
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38804-2137
Practice Address - Country:US
Practice Address - Phone:662-255-8283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-27
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay
No174400000XOther Service ProvidersSpecialist