Individual
DANIELLE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-3317
Mailing address
500 MEDICAL CENTER BLVD, SUITE 135, LAWRENCEVILLE, GA 30046-8708
(678) 312-3317
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
068208
GA
207P00000X
Emergency Medicine Physician
C7-0004012
DE
Other
Enumeration date
05/12/2008
Last updated
07/06/2016
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