Organization
GENERAL K HILLIARD, M.D. A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON VISCOVICH-BUSBY (BILLER)
(925) 961-8920
Entity
Organization
Contact information
Practice address
13847 E 14TH ST STE 203, SAN LEANDRO, CA 94578-2626
(510) 352-5325
(510) 351-7446
Mailing address
13847 E 14TH ST STE 203, SAN LEANDRO, CA 94578-2626
(510) 352-5325
(510) 351-7446
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00C32269
CA
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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