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Individual

ROBERT LEE HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
815 OAKRIDGE BLVD, LUMBERTON, NC 28358-2330
(910) 738-7166
(910) 738-4434
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-3051
(910) 738-3764

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
24831
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
340020610
RAILROAD MEDICARE
NC
01
42514
BCBS
NC
05
8942514
NC
Enumeration date
10/28/2006
Last updated
10/10/2011
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