Provider Demographics
NPI:1992831739
Name:HILTON, HARRY D (DPH)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:D
Last Name:HILTON
Suffix:
Gender:M
Credentials:DPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:768 W ELK AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTON
Mailing Address - State:TN
Mailing Address - Zip Code:37643-2517
Mailing Address - Country:US
Mailing Address - Phone:423-542-2002
Mailing Address - Fax:423-542-2023
Practice Address - Street 1:768 WEST ELK AVENUE
Practice Address - Street 2:
Practice Address - City:ELIZABETHTON
Practice Address - State:TN
Practice Address - Zip Code:37643-2559
Practice Address - Country:US
Practice Address - Phone:423-542-2002
Practice Address - Fax:423-542-2023
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN6156183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist