Individual
DR. NANCY HENDERSON-HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6387 RAMSEY ST, SUITE 210, FAYETTEVILLE, NC 28311-9420
(910) 609-3920
(910) 321-6221
Mailing address
PO BOX 40908, FAYETTEVILLE, NC 28309-0908
(910) 609-6448
(910) 609-7040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36731
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8941609
—
NC
Enumeration date
05/27/2005
Last updated
07/09/2007
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