Provider Demographics
NPI:1013977016
Name:HILL, CHRISTOPHER RUCKER (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:RUCKER
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 1:2270 VALLEYDALE RD
Mailing Address - Street 2:STE. 100
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35244-2086
Mailing Address - Country:US
Mailing Address - Phone:205-982-3596
Mailing Address - Fax:714-647-1245
Practice Address - Street 1:2270 VALLEYDALE RD
Practice Address - Street 2:STE. 100
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2086
Practice Address - Country:US
Practice Address - Phone:205-982-3596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-24
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA37121207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A371210Medicaid
CA00A371210Medicaid
CA00A371210Medicare PIN