Individual
CRYSTAL DAWN HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
104188
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104188
NC LICENSE
NC
01
—
E0985
MEDCOST
NC
Enumeration date
10/13/2005
Last updated
04/03/2017
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