Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD60651770 | WA |
N | 208200000X | Surgeon | 00-2599 | GA |
N | 208600000X | Surgeon | 00-2599 | GA |
Y | 2086S0120X | Pediatric Surgery | MD60651770 | WA |
NPI | 1346428463 |
---|---|
Provider Name | Sarah Joy Hill |
First Address | Liberty Lake, WA 99019-0421 |
Second Address | Spokane, WA 99204-2307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2008 |
Last Update Date | 19/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00-2599 | GA LICENSE NUMBER (01) |