Individual
JASON A. HILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 W RAVINE RD, KINGSPORT, TN 37660
(423) 968-1144
Mailing address
3053 W STATE ST, BRISTOL, TN 37620-1720
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2012-01486
NC
2085R0202X
Diagnostic Radiology Physician
35473
SC
2085R0202X
Diagnostic Radiology Physician
Primary
45888
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q044572
—
TN
Enumeration date
05/25/2007
Last updated
11/14/2018
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