Provider Demographics
NPI:1720615263
Name:HILL, DEBORAH TIMMONS
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:TIMMONS
Last Name:HILL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 SAVANNAH AVE STE 1C
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-7149
Mailing Address - Country:US
Mailing Address - Phone:912-225-3760
Mailing Address - Fax:
Practice Address - Street 1:124 SAVANNAH AVE STE 1C
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-7149
Practice Address - Country:US
Practice Address - Phone:912-225-3760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Single Specialty