Healthcare Provider Details

I. General information

NPI: 1962158063
Provider Name (Legal Business Name): RAYMIE FLENOY HINKLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2022
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2817 ROCK MERRITT AVE
FORT BRAGG NC
28310-0001
US

IV. Provider business mailing address

560 MOLLYS MOUNTAIN RD
AMHERST VA
24521-3768
US

V. Phone/Fax

Practice location:
  • Phone: 434-401-4380
  • Fax:
Mailing address:
  • Phone: 434-401-4380
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberAL7286
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: