Individual
DR. CARISA LYNETTE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 BOULEVARD NE, SUITE 242, ATLANTA, GA 30312-1200
(404) 588-0771
Mailing address
6915 KIMBERLY MILL RD, COLLEGE PARK, GA 30349-4723
(770) 909-5061
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
050637
GA
207R00000X
Internal Medicine Physician
40808
SC
207R00000X
Internal Medicine Physician
MD.32903
AL
207R00000X
Internal Medicine Physician
MD2018-0302
NM
Other
Enumeration date
07/14/2006
Last updated
03/16/2020
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