Individual
JONATHAN PORTER HINTZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PATEWOOD DR STE A330, GREENVILLE, SC 29615-3593
(864) 454-5660
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6328
Taxonomy
Speciality
Code
Description
License number
State
2080S0012X
Pediatric Sleep Medicine Physician
Primary
40760
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/11/2013
Last updated
07/21/2022
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