Individual
PAUL BRYAN HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
920 MADISON AVE STE 200, MEMPHIS, TN 38103
(901) 448-1679
Mailing address
1407 UNION AVE STE 700, MEMPHIS, TN 38104-3641
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD19756
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00110594
—
MS
05
—
003181607A
—
GA
01
—
0061898
BLUE CROSS/ BLUE SHEILD
TN
05
—
116906001
—
AR
05
—
1740283910
—
MO
05
—
3058101
—
TN
01
—
62-1497915
TAX ID
TN
01
—
621497915001
CHAMPUS/TRICARE
TN
Enumeration date
05/23/2005
Last updated
10/16/2018
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