Individual
DR. RUSSELL WALKER HINERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 HAWTHORNE PARK, ATHENS, GA 30606-2148
(706) 548-0500
(706) 548-3575
Mailing address
220 HAWTHORNE PARK, ATHENS, GA 30606
(706) 548-0500
(706) 548-3575
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
29468
GA
2085R0001X
Radiation Oncology Physician
ME54316
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000344286C
—
GA
05
—
2567024-00
—
FL
01
—
920006652
RAILROAD MEDICARE
FL
Enumeration date
04/01/2006
Last updated
11/05/2015
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