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Individual

BRUCE ERIC HILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
215 MARION AVE, MCCOMB, MS 39648-2705
(601) 249-1382
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
(601) 250-4367

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
901617
MS
363LF0000X
Family Nurse Practitioner
Primary
901617
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
04422546
MS
Enumeration date
10/17/2016
Last updated
12/13/2021
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