Provider Demographics
NPI:1619054046
Name:HILL, PAULETTE CAMILLE (MD)
Entity Type:Individual
Prefix:DR
First Name:PAULETTE
Middle Name:CAMILLE
Last Name:HILL
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 1:7172 SPRINGHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21226-2200
Mailing Address - Country:US
Mailing Address - Phone:410-255-3626
Mailing Address - Fax:
Practice Address - Street 1:707 S PRESIDENT ST APT 1335
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-4497
Practice Address - Country:US
Practice Address - Phone:410-244-8384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD18887207QA0401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction Medicine