Provider Demographics
NPI:1528042744
Name:HILLIARD, ANITA JOY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANITA
Middle Name:JOY
Last Name:HILLIARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 RIVERMONT AVE
Mailing Address - Street 2:VIRGINIA BAPTIST HOSPITAL
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24503-2030
Mailing Address - Country:US
Mailing Address - Phone:434-947-4010
Mailing Address - Fax:434-947-7400
Practice Address - Street 1:3300 RIVERMONT AVE
Practice Address - Street 2:VIRGINIA BAPTIST HOSPITAL
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-2030
Practice Address - Country:US
Practice Address - Phone:434-947-4010
Practice Address - Fax:434-947-7400
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101050509174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAE73526Medicare UPIN
VA920000042Medicare ID - Type Unspecified