Provider Demographics
NPI:1952515371
Name:STEVEN P HILL, MD,PC
Entity type:Organization
Organization Name:STEVEN P HILL, MD,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-538-0003
Mailing Address - Street 1:PO BOX 1956
Mailing Address - Street 2:
Mailing Address - City:VIDALIA
Mailing Address - State:GA
Mailing Address - Zip Code:30475-1956
Mailing Address - Country:US
Mailing Address - Phone:912-538-0003
Mailing Address - Fax:912-538-7444
Practice Address - Street 1:704 MAPLE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:VIDALIA
Practice Address - State:GA
Practice Address - Zip Code:30474-7207
Practice Address - Country:US
Practice Address - Phone:912-538-0003
Practice Address - Fax:912-538-7444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2008-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA913222OtherBCBS
GA962159057AMedicaid
GA511G700647Medicare PIN