Provider Demographics
NPI:1699241695
Name:HILL, FREDERICK LEE (CPT LEVEL II (DIA)
Entity type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:LEE
Last Name:HILL
Suffix:
Gender:M
Credentials:CPT LEVEL II (DIA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 WILLOWTREE WAY
Mailing Address - Street 2:
Mailing Address - City:LYMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29369
Mailing Address - Country:US
Mailing Address - Phone:864-542-6282
Mailing Address - Fax:
Practice Address - Street 1:612 WILLOWTREE WAY
Practice Address - Street 2:
Practice Address - City:LYMAN
Practice Address - State:SC
Practice Address - Zip Code:29369
Practice Address - Country:US
Practice Address - Phone:864-542-6282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-17
Last Update Date:2018-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & Sports
No172V00000XOther Service ProvidersCommunity Health Worker
No174H00000XOther Service ProvidersHealth Educator