Doctor Name: | MR. ED EVERETT HILLIS |
NPI Number: | 1295785087 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RPSGT |
License Number: | |
Business Practice Address: | 345 Carthage St Sanford, NC - 273304206 |
Business Phone Number: | 9197760512 |
Business Fax Number: | 9197760517 |
Mailing Address: | 345 Carthage St, SANFORD |
State: | NC |
Postal Code: | 273304206 |
Phone Number: | 9197760512 |
Fax Number: | 9197760517 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 09/13/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |