Individual
KATHRYN CHARLTON HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
910 BLACKFORD ST, CHATTANOOGA, TN 37403-1405
(423) 778-6107
(423) 778-6958
Mailing address
975 EAST THIRD STREET, ATTN: PROVIDER ENROLLMENT, CHATTANOOGA, TN 37403-2147
(423) 778-6107
(423) 778-6958
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
55887
TN
208000000X
Pediatrics Physician
MD.32649
AL
Other
Enumeration date
04/24/2012
Last updated
06/07/2017
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