Provider Demographics
NPI:1114971009
Name:HILL, GERALD KENNETH (MD)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:KENNETH
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1317 N ELM ST
Mailing Address - Street 2:SUITE 7
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1033
Mailing Address - Country:US
Mailing Address - Phone:336-373-1557
Mailing Address - Fax:336-373-1742
Practice Address - Street 1:1317 N ELM ST
Practice Address - Street 2:SUITE 7
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1033
Practice Address - Country:US
Practice Address - Phone:336-373-1557
Practice Address - Fax:336-373-1742
Is Sole Proprietor?:No
Enumeration Date:2006-05-22
Last Update Date:2013-07-12
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Provider Licenses
StateLicense IDTaxonomies
NC31528207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8942366Medicaid
NC8942366Medicaid
NCC84497Medicare UPIN