Provider Demographics
NPI:1508826215
Name:MCPHAIL, ALTHEA HILL (MD)
Entity Type:Individual
Prefix:
First Name:ALTHEA
Middle Name:HILL
Last Name:MCPHAIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:E
Other - Middle Name:ALTHEA
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1686
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46206-1686
Mailing Address - Country:US
Mailing Address - Phone:800-346-1181
Mailing Address - Fax:706-232-0156
Practice Address - Street 1:1000 MEDICAL CENTER BLVD
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-7694
Practice Address - Country:US
Practice Address - Phone:800-346-1811
Practice Address - Fax:706-378-8864
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA037296207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00558181BMedicaid
GA220012164Medicare PIN
F71100Medicare UPIN
GA00558181BMedicaid