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NPI Code Detail

MEDICARE: STEVEN M HINES MD

MEDICARE: STEVEN M HINES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry Physician057649GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437174281
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN M HINES MD
Provider Business Mailing Address
First Line : 610 OGLETHORPE AVE
Second Line : SUITE C
City : ATHENS
State : GA
Zip : 30606-2258
Country : US
Telephone Number : 706-549-2087
Fax Number : 706-549-2126
Provider Business Practice Location Address
First Line : 610 OGLETHORPE AVE
Second Line : SUITE C
City : ATHENS
State : GA
Zip : 30606-2258
Country : US
Telephone Number : 706-549-2087
Fax Number : 706-549-2126
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 09/23/2009

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