Individual
MR. RANDALL LEONARD HINES SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
198 S MACARTHUR DR, CAMILLA, GA 31730-6370
(229) 336-2247
(229) 336-8009
Mailing address
198 S MACARTHUR DR, CAMILLA, GA 31730-6370
(229) 336-2247
(229) 336-8009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/14/2013
Last updated
11/14/2013
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