Individual
CHARLES WAYNE HILL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 926-8686
Mailing address
17486A TANGI LAKE EXT, HAMMOND, LA 70403-0236
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09752
LA
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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