Provider Demographics
NPI:1912133893
Name:HILLS, MONICA J (DC)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:J
Last Name:HILLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:MONICA
Other - Middle Name:J
Other - Last Name:HILLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:4761 BAYOU BLVD
Mailing Address - Street 2:STE 6
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-2600
Mailing Address - Country:US
Mailing Address - Phone:850-476-1887
Mailing Address - Fax:
Practice Address - Street 1:4761 BAYOU BLVD STE 6
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-2600
Practice Address - Country:US
Practice Address - Phone:850-476-1887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2012-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT7288450-1202111N00000X
FLCH10432111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor