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Individual

MR. TIMOTHY P HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
2000 PEPPERELL PKWY, OPELIKA, AL 36801-5452
(334) 528-1112
(334) 528-1547
Mailing address
PO BOX 4283, OPELIKA, AL 36803-4283
(334) 528-1112
(334) 528-1547

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-061332
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-30919
BLUE CROSS OF AL PROV #
AL
Enumeration date
04/24/2006
Last updated
03/13/2008
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