Provider Demographics
NPI:1316686165
Name:HILL, DAVID W II
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:W
Last Name:HILL
Suffix:II
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 1:517 CHANDLER LN
Mailing Address - Street 2:
Mailing Address - City:ROCKY MOUNT
Mailing Address - State:NC
Mailing Address - Zip Code:27804-7513
Mailing Address - Country:US
Mailing Address - Phone:252-382-8910
Mailing Address - Fax:252-558-0780
Practice Address - Street 1:517 CHANDLER LN
Practice Address - Street 2:
Practice Address - City:ROCKY MOUNT
Practice Address - State:NC
Practice Address - Zip Code:27804-7513
Practice Address - Country:US
Practice Address - Phone:252-382-8910
Practice Address - Fax:252-558-0780
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-31
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle