MEDICARE: DAVID MCDONALD HINDS P.A.

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
1	363A00000X	Physician Assistant	100200	NC

General Provider Information

NPI Number	:	1346321759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID MCDONALD HINDS P.A.

Provider Business Mailing Address
First Line	:	2902 CENTRAL HEIGHTS RD
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-6513
Country	:	US
Telephone Number	:	919-751-5900
Fax Number	:	919-759-1111

Provider Business Practice Location Address
First Line	:	2902 CENTRAL HEIGHTS RD
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-6513
Country	:	US
Telephone Number	:	919-751-5900
Fax Number	:	919-759-1111

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	11/18/2013

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