Individual
JACKIE L HINDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
651 DUNLOP LN., GATEWAY MED CENTER, CLARKSVILLE, TN 37040-5015
(931) 502-1370
Mailing address
2020 21ST AVE S, SUITE 201, ESN, NASHVILLE, TN 37212
(615) 269-0652
(615) 269-0135
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
44991
TN
207P00000X
Emergency Medicine Physician
A85713
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A857130
—
CA
Enumeration date
06/27/2006
Last updated
08/22/2011
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