Doctor Name: | MR. BRAD L HILAMAN |
NPI Number: | 1255401501 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 9500936 |
Business Practice Address: | 823 N Atlantic Ave Southport, NC - 28461 |
Business Phone Number: | 9104579292 |
Business Fax Number: | 9104575269 |
Mailing Address: | 823 N Atlantic Ave, SOUTHPORT |
State: | NC |
Postal Code: | 28461 |
Phone Number: | 9104579292 |
Fax Number: | 9104575269 |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 9500936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |