Provider Demographics
NPI:1013296763
Name:HILL, HOLLI MICHELLE (DO)
Entity type:Individual
Prefix:DR
First Name:HOLLI
Middle Name:MICHELLE
Last Name:HILL
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 ROCKMONT DR
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-6477
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:230 ROCKMONT DR
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-6477
Practice Address - Country:US
Practice Address - Phone:803-548-8746
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-12
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDOC-0102207P00000X
IN02005261B207P00000X
PAOS018457207P00000X
IADO-05304207P00000X
OH34.010798207P00000X
SC81714207P00000X
KY04278207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine