Individual
JUSTIN HILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3076 GREENLODGE LN, MEMPHIS, TN 38119-8728
(901) 651-8664
Mailing address
3076 GREENLODGE LN, MEMPHIS, TN 38119-8728
(901) 651-8664
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
170000742
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
81-5280734
BUSINESS LICENSE - TN
TN
Enumeration date
04/22/2019
Last updated
04/22/2019
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