Provider Demographics
NPI:1669530325
Name:HILL, ELIZABETH BEU (MD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:BEU
Last Name:HILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:429 ECHOTA PKWY UNIT 11A
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-3289
Mailing Address - Country:US
Mailing Address - Phone:919-670-4354
Mailing Address - Fax:
Practice Address - Street 1:5170 NC HIGHWAY 105 S
Practice Address - Street 2:
Practice Address - City:BANNER ELK
Practice Address - State:NC
Practice Address - Zip Code:28604-8734
Practice Address - Country:US
Practice Address - Phone:919-670-4354
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2016-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2015-000252084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
E76222Medicare UPIN
OH341823623026OtherCARE SOURCE
E76222Medicare UPIN
OHHI0796801Medicare PIN