Individual
BRIAN HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
326 REXFORD DR, MOORE, SC 29369-9478
(989) 450-9585
Mailing address
138 TOURNAMENT PT, DUNCAN, SC 29334-9265
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
103498
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
18280
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN2278
—
SC
01
—
Q437829225
MEDICARE
SC
Enumeration date
03/09/2013
Last updated
04/27/2018
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