Provider Demographics
NPI:1144237371
Name:HILL, EDWARD POLK IV (MD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:POLK
Last Name:HILL
Suffix:IV
Gender:M
Credentials:MD
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Mailing Address - Street 1:3368 HWY 280
Mailing Address - Street 2:SUITE 120
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010
Mailing Address - Country:US
Mailing Address - Phone:256-234-3004
Mailing Address - Fax:256-234-0313
Practice Address - Street 1:3368 HWY 280
Practice Address - Street 2:SUITE 120 SAA
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010
Practice Address - Country:US
Practice Address - Phone:256-234-3004
Practice Address - Fax:256-234-0313
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
AL14384207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G03482Medicare UPIN
AL51035615Medicare ID - Type Unspecified