Individual
MICHAEL JOHN HILTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 PARKWAY AVENUE, SUITE E1, GREENSBORO, NC 27401
(336) 895-1112
(336) 895-1160
Mailing address
411 PARKWAY AVENUE, SUITE E1, GREENSBORO, NC 27401
(336) 895-1112
(336) 895-1160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9601205
NC
207Q00000X
Family Medicine Physician
Q1828
TX
207QS0010X
Sports Medicine (Family Medicine) Physician
9601205
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891218A
—
NC
01
—
P00221792
RAILROAD MEDICARE
NC
Enumeration date
05/31/2006
Last updated
12/09/2022
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