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Individual

CARLA D. HINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
12070 OLD LINE CENTER DRIVE, SUITE 210, WALDORF, MD 20602
(240) 629-3952
(240) 629-3953
Mailing address
PO BOX 2348, GERMANTOWN, MD 20875-2348
(240) 629-3912

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0002679
MD

Other

Enumeration date
06/11/2007
Last updated
03/16/2016
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