Provider Demographics
NPI:1942048095
Name:HILL, ANDREW HUDSON (DC)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:HUDSON
Last Name:HILL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:465 GRAND CYPRESS DR APT 1542
Mailing Address - Street 2:
Mailing Address - City:SAINT JOHNS
Mailing Address - State:FL
Mailing Address - Zip Code:32259-1823
Mailing Address - Country:US
Mailing Address - Phone:302-519-2265
Mailing Address - Fax:
Practice Address - Street 1:465 GRAND CYPRESS DR APT 1542
Practice Address - Street 2:
Practice Address - City:SAINT JOHNS
Practice Address - State:FL
Practice Address - Zip Code:32259-1823
Practice Address - Country:US
Practice Address - Phone:302-519-2265
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-15
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1214111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty