Provider Demographics
NPI:1306555628
Name:SHILL, WILLIAM (CP)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:
Last Name:SHILL
Suffix:
Gender:M
Credentials:CP
Other - Prefix:
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Mailing Address - Street 1:2534 EMPIRE DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-6710
Mailing Address - Country:US
Mailing Address - Phone:336-397-2165
Mailing Address - Fax:336-397-2167
Practice Address - Street 1:1103 N ELM ST STE 201
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-6311
Practice Address - Country:US
Practice Address - Phone:336-478-9400
Practice Address - Fax:336-478-9404
Is Sole Proprietor?:No
Enumeration Date:2022-11-15
Last Update Date:2022-11-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist