1447513494 NPI number — MR. WILLIAM E. HILLMAN JR. R.PH.

Table of content: MR. WILLIAM E. HILLMAN JR. R.PH. (NPI 1447513494)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447513494 NPI number — MR. WILLIAM E. HILLMAN JR. R.PH.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HILLMAN
Provider First Name:
WILLIAM
Provider Middle Name:
E.
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
R.PH.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
HILLMAN
Provider Other First Name:
BILL
Provider Other Middle Name:
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
JR.
Provider Other Credential Text:
R.PH.
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1447513494
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/23/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1247 ROSE LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEWBERRY
Provider Business Mailing Address State Name:
SC
Provider Business Mailing Address Postal Code:
29108-4131
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
803-276-4150
Provider Business Mailing Address Fax Number:
803-276-4150

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
106 JIMMY MARTIN CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GASTON
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29053-9242
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-794-5233
Provider Business Practice Location Address Fax Number:
803-794-5543
Provider Enumeration Date:
06/23/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 183500000X , with the licence number:  5466 , registered in the state of SC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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