Provider Demographics
NPI:1790802791
Name:HILL, WILLIAM (PHARM D)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2943 WINTERCREST DR
Mailing Address - Street 2:
Mailing Address - City:DORAVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30360-2394
Mailing Address - Country:US
Mailing Address - Phone:770-368-4068
Mailing Address - Fax:
Practice Address - Street 1:2943 WINTERCREST DR
Practice Address - Street 2:
Practice Address - City:DORAVILLE
Practice Address - State:GA
Practice Address - Zip Code:30360-2394
Practice Address - Country:US
Practice Address - Phone:770-368-4068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA021556183500000X
NC15998183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist