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LEONARD HARVEY HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6005 PARK AVE, SUITE 821-B, MEMPHIS, TN 38119-5202
(901) 726-1056
(901) 726-5867
Mailing address
6029 WALNUT GROVE RD, SUITE 404, MEMPHIS, TN 38120-2112
(901) 726-1056
(901) 726-5867

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5164
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3154869
TN
Enumeration date
08/30/2006
Last updated
12/12/2007
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