Provider Demographics
NPI:1801044375
Name:HILL, PATRICIA CANNINGTON (NP-C)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:CANNINGTON
Last Name:HILL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 CHARTER BLVD 100
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-4881
Mailing Address - Country:US
Mailing Address - Phone:478-471-0089
Mailing Address - Fax:478-471-0708
Practice Address - Street 1:540 CHARTER BLVD
Practice Address - Street 2:STE 100
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31210-4881
Practice Address - Country:US
Practice Address - Phone:478-471-0227
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN060452363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily