Provider Demographics
NPI:1811306376
Name:PLUMMER, HILLARY ANN (MAT, LAT, ATC)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:ANN
Last Name:PLUMMER
Suffix:
Gender:F
Credentials:MAT, LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4315 GOLF CLUB DR
Mailing Address - Street 2:#4708
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36830-5836
Mailing Address - Country:US
Mailing Address - Phone:404-421-5666
Mailing Address - Fax:
Practice Address - Street 1:4315 GOLF CLUB DR
Practice Address - Street 2:#4708
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-5836
Practice Address - Country:US
Practice Address - Phone:404-421-5666
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-10
Last Update Date:2014-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL13922255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer