Provider Demographics
NPI:1225562382
Name:HITE, ERIC
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:HITE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3724 WIRELESS DR
Mailing Address - Street 2:APT 3G
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27455-3312
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3724 WIRELESS DR
Practice Address - Street 2:APT 3G
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27455-3312
Practice Address - Country:US
Practice Address - Phone:803-606-1228
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-16
Last Update Date:2017-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP145122251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics