Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2082S0105X | Plastic Hand Surgeon | 70467 | WI |
N | 208200000X | Surgeon | 4301096371 | MI |
N | 208600000X | Surgeon | 4301096371 | MI |
N | 2086S0122X | Plastic and Reconstructive Surgery | TL38580 | SC |
NPI | 1922328921 |
---|---|
Provider Name | Brian Christopher Hill |
First Address | Charleston, SC 29425-8908 |
Second Address | Pleasant Prairie, WI 53158-2118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2010 |
Last Update Date | 03/07/2019 |