Provider Demographics
NPI:1255187621
Name:HILL, ORLANDO (CRT)
Entity type:Individual
Prefix:MR
First Name:ORLANDO
Middle Name:
Last Name:HILL
Suffix:
Gender:M
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4915 N MAIN ST UNIT 977
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30101-1313
Mailing Address - Country:US
Mailing Address - Phone:678-904-2422
Mailing Address - Fax:678-904-2239
Practice Address - Street 1:4287 MONTICELLO WAY NW
Practice Address - Street 2:
Practice Address - City:KENNESAW
Practice Address - State:GA
Practice Address - Zip Code:30144-6004
Practice Address - Country:US
Practice Address - Phone:678-904-2422
Practice Address - Fax:678-904-2239
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172V00000X
GA174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator
No172V00000XOther Service ProvidersCommunity Health Worker