Provider Demographics
NPI:1114912516
Name:HILL, DAVID E (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:E
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2100 W CLINCH AVE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37916-2288
Mailing Address - Country:US
Mailing Address - Phone:865-637-7290
Mailing Address - Fax:865-637-7289
Practice Address - Street 1:2100 W CLINCH AVE
Practice Address - Street 2:SUITE 120
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37916-2288
Practice Address - Country:US
Practice Address - Phone:865-637-7290
Practice Address - Fax:865-637-7289
Is Sole Proprietor?:No
Enumeration Date:2005-09-13
Last Update Date:2018-05-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN12874174400000X
FLME1302732088P0231X
TNMD00000128742088P0231X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL024355300Medicaid
TN3003431Medicaid
TN3003431Medicaid