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Individual

MR. ED EVERETT HILLIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPSGT

Contact information

Practice address
345 CARTHAGE ST, SANFORD, NC 27330-4206
(919) 776-0512
(919) 776-0517
Mailing address
345 CARTHAGE ST, SANFORD, NC 27330-4206
(919) 776-0512
(919) 776-0517

Taxonomy

Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
4188
332B00000X
Durable Medical Equipment & Medical Supplies

Other

Enumeration date
05/11/2006
Last updated
09/13/2007
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