Individual
SCOTT HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7007
Mailing address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 668-7007
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
0101276397
VA
207LP3000X
Pediatric Anesthesiology Physician
MD435221
PA
208000000X
Pediatrics Physician
LP00182
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027202730001
—
PA
01
—
255058EJL
MEDICARE PTAN
PA
Enumeration date
04/20/2007
Last updated
09/25/2024
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