Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | D18887 | MD |
NPI | 1619054046 |
---|---|
Provider Name | Dr. Paulette Camille Hill |
First Address | Baltimore, MD 21226-2200 |
Second Address | Baltimore, MD 21202-4497 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 08/07/2007 |