Individual
DR. RANDALL JAMES HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 PENNSYLVANIA AVE, SUITE 301, CHARLESTON, WV 25302-3302
(304) 346-4455
(304) 346-4457
Mailing address
830 PENNSYLVANIA AVE, SUITE 301, CHARLESTON, WV 25302-3302
(304) 346-4455
(304) 346-4457
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
13989
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000687821
BCBS INDIVIDUAL ID
WV
01
—
001794375
BCBS PIN#
WV
01
—
11101421
CAQH
WV
01
—
37213
CARELINK MEDICAID
WV
05
—
3810004470
—
WV
01
—
408466
CARELINK COMMERCIAL
WV
01
—
4245376
AETNA
WV
01
—
925491
MAMSI
WV
Enumeration date
03/31/2006
Last updated
03/07/2023
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