Provider Demographics
NPI:1568567964
Name:HILL, YOLONDA (MD)
Entity Type:Individual
Prefix:DR
First Name:YOLONDA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:YOLONDA
Other - Middle Name:
Other - Last Name:SPOONER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3801 NORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3825
Mailing Address - Country:US
Mailing Address - Phone:225-381-6620
Mailing Address - Fax:225-381-2579
Practice Address - Street 1:3801 NORTH BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3825
Practice Address - Country:US
Practice Address - Phone:225-381-6620
Practice Address - Fax:225-381-2579
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2009-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA023692207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1482765Medicaid
LA1482765Medicaid
LAG83678Medicare UPIN