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Individual

CALISTUR HILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
302B MONTAGUE AVE, GREENWOOD, SC 29649-1938
(864) 323-9373
Mailing address
115 OAK RIDGE DR, GREENWOOD, SC 29649-1777

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
22467
SC
363LF0000X
Family Nurse Practitioner
Primary
22467
SC
363LF0000X
Family Nurse Practitioner
22647
SC

Other

Enumeration date
03/19/2019
Last updated
05/25/2021
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