Individual
MR. CHARLES EDWARD HILL II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S.PHYSICAL THERAPY
Contact information
Practice address
1300 SUNSET DR, STE G, GRENADA, MS 38901-4086
(662) 227-9748
(668) 227-9769
Mailing address
1300 SUNSET DR, STE G, GRENADA, MS 38901-4086
(662) 227-9748
(668) 227-9769
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT2219
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122657
—
MS
Enumeration date
03/31/2008
Last updated
03/31/2008
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