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Contact Information

STACEY M HILL, PA-C
201 N BREAZEALE AVE
MOUNT OLIVE, NC28365
 Phone: 919-658-4954
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for STACEY M HILL · (Female)

NPI Number 1104108414
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 09/13/2011
Last updated 05/31/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 0010-03040
  • NC Other 0010-03040 NC MEDICAL LIC
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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