Provider Demographics
NPI:1164048245
Name:HILL, ANTONIO (DC)
Entity Type:Individual
Prefix:
First Name:ANTONIO
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2729 HEATHROW DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-8172
Mailing Address - Country:US
Mailing Address - Phone:678-545-3945
Mailing Address - Fax:
Practice Address - Street 1:834 SPUR 138 STE 836
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-2274
Practice Address - Country:US
Practice Address - Phone:678-545-3945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-24
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009713111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No111NS0005XChiropractic ProvidersChiropractorSports Physician