Basic Information
| Provider Information | |||||||||
| NPI: | 1134611502 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HILL | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | MICHAEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8815 GERMANTOWN AVE FL 5 | ||||||||
| Address2: | |||||||||
| City: | PHILADELPHIA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 191182722 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2152488145 | ||||||||
| FaxNumber: | 2152488852 | ||||||||
| Practice Location | |||||||||
| Address1: | 9605 JEFFERSON HWY STE E | ||||||||
| Address2: | |||||||||
| City: | RIVER RIDGE | ||||||||
| State: | LA | ||||||||
| PostalCode: | 701232550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5047381600 | ||||||||
| FaxNumber: | 5047371264 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2018 | ||||||||
| LastUpdateDate: | 10/12/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MT215628 | PA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 328822 | LA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.