Individual
DR. JUSTIN DAVID HILLIARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
740 S LIMESTONE KY CLINIC 401, LEXINGTON, KY 40536
(859) 323-5661
Mailing address
740 S LIMESTONE KY CLINIC 401, LEXINGTON, KY 40536-0001
(859) 323-5661
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
52106
KY
207T00000X
Neurological Surgery Physician
ME131513
FL
207T00000X
Neurological Surgery Physician
TRN17374
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024814600
—
FL
Enumeration date
06/26/2012
Last updated
01/07/2019
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