Pamela Ann Hills, TEACHING
Individual provider Active NPI Contractor · Nichols, SC
NPI 1972904472 · NPPES record last updated Sep 16, 2014
Key facts
- NPI
- 1972904472
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- C122009000619 (CT)
- Practice address
- 403 South Nichols Street
Nichols, SC 29581-0232 - Phone
- (860) 818-2595
- NPI assigned
- Sep 16, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C122009000619 | CT | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | C122009000619 | CT | Yes |
Addresses
Primary practice location
403 South Nichols Street
Nichols, SC 29581-0232
Mailing address
PO Box 232
403 South Nichols Street
Nichols, SC 29581-0232
Phone (860) 818-2595
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C122009000691 | Other | CT | CONNECTICUT STATE DEPARTMENT OF EDUCATION |
Other providers in Nichols, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.