Provider Demographics
NPI:1770553000
Name:HILL, WILLIAM HENRY (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:HENRY
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:PO BOX 277700
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-7700
Mailing Address - Country:US
Mailing Address - Phone:440-717-6600
Mailing Address - Fax:440-546-8381
Practice Address - Street 1:101 E WOOD ST
Practice Address - Street 2:EMERGENCY CENTER
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3040
Practice Address - Country:US
Practice Address - Phone:864-560-7025
Practice Address - Fax:864-560-7388
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8806207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC088069Medicaid
SC189208OtherMEDCOST
SCP00731502OtherRAIL ROAD MEDICARE
NC89065RUMedicaid
SC20051873OtherSELECT HEALTH
SC7564168OtherAETNA
SCP00731502OtherRAIL ROAD MEDICARE
SC20051873OtherSELECT HEALTH
SCD906628510Medicare PIN
NC89065RUMedicaid
SCD90662Medicare PIN
SCD90662Medicare UPIN