Amelia Celeste Hillmon
Contractor in Tifton, GA. Individual provider (NPI-1).
NPI number1780199273
StatusActive
Last updated in NPPESDec 6, 2017
Details
- NPI
- 1780199273
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Amelia Celeste Hillmon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 6, 2017
- Last updated
- Dec 6, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
1439 Central Ave NTifton, GA 31794-3409
Phone 229-425-5225
Mailing address
1439 Central Ave NTifton, GA 31794-3409
Phone 229-425-5225
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