Basic Information
| Provider Information | |||||||||
| NPI: | 1578650057 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HILL | ||||||||
| FirstName: | CHRISTINA | ||||||||
| MiddleName: | S | ||||||||
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| Credential: | PA-C | ||||||||
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| Mailing Information | |||||||||
| Address1: | 615 SHIPYARD BLVD | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 284126431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9103430145 | ||||||||
| FaxNumber: | 9102029966 | ||||||||
| Practice Location | |||||||||
| Address1: | 4005 OLEANDER DR | ||||||||
| Address2: | |||||||||
| City: | WILMINGTON | ||||||||
| State: | NC | ||||||||
| PostalCode: | 284036816 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9107909949 | ||||||||
| FaxNumber: | 9102029966 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/06/2006 | ||||||||
| LastUpdateDate: | 02/10/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363A00000X | 102671 | NC | Y | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
ID Information
| ID | Type | State | Issuer | Description | 1578650057 | 01 | NC | TRICARE/HEALTHNET FEDERAL SERVICES | OTHER | 1578650057 | 01 | NC | HUMANA | OTHER | 1578650057 | 01 | NC | HEALTHSMART | OTHER | 1578650057 | 05 | NC | MEDICAID | 298779 | 01 | NC | MEDCOST, LLC | OTHER | 13439753 | 01 | NC | MULTIPLAN/PHCS | OTHER | 4643793 | 01 | NC | COVENTRY NATIONAL/COVENTRY PPO | OTHER | FH4002305 | 01 | NC | FIRST CAROLINA CARE | OTHER | 189SS | 01 | NC | BCBS OF NC | OTHER | 2043167 | 01 | NC | UNITED HEALTHCARE | OTHER | 5515945 | 01 | NC | AETNA | OTHER | 9704433 | 01 | NC | CIGNA/GREATWEST | OTHER | 1583311 | 01 | NC | WELLPATH/COVENTRY NC | OTHER | 1578650057 | 01 | NC | DOCTORS DIRECT | OTHER | 1578650057 | 01 | NC | HEALTHGRAM | OTHER |