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Individual

DR. MALCOLM HILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1296 HWY 138, SUITE 105, RIVERDALE, GA 30296
(678) 954-7224
(678) 954-7226
Mailing address
1296 HWY 138, SUITE 105, RIVERDALE, GA 30296
(678) 954-7224
(678) 954-7226

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007167
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
352CGTP
MEDICARE NUMBER
GA
01
743235971
TAX ID
GA
Enumeration date
09/13/2006
Last updated
07/24/2008
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