Provider Demographics
NPI:1417107327
Name:HILL, PATRICIA SUE
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:SUE
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:494 A C SMITH RD
Mailing Address - Street 2:
Mailing Address - City:COMMERCE
Mailing Address - State:GA
Mailing Address - Zip Code:30530-5754
Mailing Address - Country:US
Mailing Address - Phone:706-308-5346
Mailing Address - Fax:
Practice Address - Street 1:494 A C SMITH RD
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30530-5754
Practice Address - Country:US
Practice Address - Phone:706-308-5346
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-27
Last Update Date:2008-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist