Provider Demographics
NPI:1538754148
Name:HILLS, SETH RUSSELL (CPO)
Entity type:Individual
Prefix:
First Name:SETH
Middle Name:RUSSELL
Last Name:HILLS
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2028 BABBLING BROOKE LN
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-6089
Mailing Address - Country:US
Mailing Address - Phone:203-685-2476
Mailing Address - Fax:
Practice Address - Street 1:MCGUIRE VAMC,1201 BROAD ROCK BLVD BLDG.514
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23249-0001
Practice Address - Country:US
Practice Address - Phone:804-675-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-05
Last Update Date:2021-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZB0301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherBiomedical Engineering