Provider Demographics
NPI:1194516591
Name:HILL, MARTISHA (PHLEB, PHLEB INSTR)
Entity type:Individual
Prefix:
First Name:MARTISHA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:PHLEB, PHLEB INSTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SOLOMAN CIR
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-0952
Mailing Address - Country:US
Mailing Address - Phone:844-503-3597
Mailing Address - Fax:
Practice Address - Street 1:14 SOLOMAN CIR
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-0952
Practice Address - Country:US
Practice Address - Phone:844-503-3597
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-14
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172A00000X, 172V00000X
GA3176200319174H00000X
GA8100237786246RM2200X, 374700000X, 246RP1900X
8100237786247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy
No172A00000XOther Service ProvidersDriver
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator
No246RM2200XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyMedical Laboratory
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other
No374700000XNursing Service Related ProvidersTechnician