Provider Demographics
NPI:1336476159
Name:HILLEGAS, GEORGE F III (EDD, MPH, PA-C)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:F
Last Name:HILLEGAS
Suffix:III
Gender:M
Credentials:EDD, MPH, PA-C
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Mailing Address - Street 1:400 GOODYS LN
Mailing Address - Street 2:(SOUTH COLLEGE PA PROGRAM)
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-1900
Mailing Address - Country:US
Mailing Address - Phone:865-288-8312
Mailing Address - Fax:865-288-5903
Practice Address - Street 1:3904 LONAS
Practice Address - Street 2:PA PROGRAM SOUTH COLLEGE
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37909
Practice Address - Country:US
Practice Address - Phone:865-251-1883
Practice Address - Fax:865-584-9816
Is Sole Proprietor?:No
Enumeration Date:2009-11-16
Last Update Date:2015-04-30
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Provider Licenses
StateLicense IDTaxonomies
TN1533363AM0700X
CT451363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical