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Individual

DR. RODNEY E HILLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2647 S SAINT ELIZABETH BLVD, GONZALES, LA 70737-5021
(225) 647-8511
(225) 644-5213
Mailing address
2647 S SAINT ELIZABETH BLVD STE 320, GONZALES, LA 70737-5017
(225) 765-5500
(225) 644-4206

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD024239
LA
2084N0400X
Neurology Physician
ME105363
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10983217
CAQH
01
1464V
BC BS FL
FL
05
1573264
LA
01
7906337
CIGNA
FL
Enumeration date
10/20/2005
Last updated
03/25/2021
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