Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 29636 | TN |
Y | 207QS0010X | Family Doctor - Sports Medicine | 29636 | TN |
NPI | 1124063177 |
---|---|
Provider Name | Dr. Robert Anthony Hill |
First Address | Chattanooga, TN 37406-4004 |
Second Address | Chattanooga, TN 37406-4004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/06/2006 |
Last Update Date | 12/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
F23011 | (02) | TN |