Octavia W Hill

Individual provider Active NPI Contractor · Charlotte, NC

NPI 1154215697 · NPPES record last updated Jun 9, 2025

Key facts

NPI
1154215697
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
604 Sofia LN Apt H
Charlotte, NC 28262-0255
Phone
(980) 287-3469
Fax
(000) 000-0000
NPI assigned
Jun 9, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

604 Sofia LN Apt H
Charlotte, NC 28262-0255

Mailing address

604 Sofia LN Apt H
Charlotte, NC 28262-0255
Phone (980) 287-3469

Other providers in Charlotte, NC

All providers in Charlotte, NC · Contractor in North Carolina

Sources for this page

Verify at the official NPI Registry.