Individual
ANGELA KAY HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
806 SOUTHALL CT, GOOSE CREEK, SC 29445-5715
(813) 404-4716
Mailing address
806 SOUTHALL CT, GOOSE CREEK, SC 29445-5715
(813) 404-4716
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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