Provider Demographics
NPI:1598762247
Name:HILL, JULIAN B (MD)
Entity Type:Individual
Prefix:
First Name:JULIAN
Middle Name:B
Last Name:HILL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:961 SOUTH GLOSTER STREET
Mailing Address - Street 2:
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801
Mailing Address - Country:US
Mailing Address - Phone:662-844-9166
Mailing Address - Fax:662-844-0153
Practice Address - Street 1:961 SOUTH GLOSTER STREET
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801
Practice Address - Country:US
Practice Address - Phone:662-844-9166
Practice Address - Fax:662-844-0153
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS08548207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS0011647Medicaid
MS0685410001Medicare NSC
MS0685410003Medicare NSC
MSB66183Medicare UPIN
MS0011647Medicaid
MS0685410002Medicare NSC
MSC00473Medicare PIN
MS110000271Medicare PIN