Organization
GREGORY A HINES
Active
Other names
Family Medical Center PLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONNIE K NORTON (INSURANCE SPECIALIST)
(931) 762-9416
Entity
Organization
Contact information
Practice address
1311 S LOCUST AVE, SUITE 102, LAWRENCEBURG, TN 38464-4040
(931) 762-9416
(931) 762-0634
Mailing address
1311 S LOCUST AVE STE 102, PO BOX 926, LAWRENCEBURG, TN 38464-4054
(931) 762-9416
(931) 762-0634
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD37386
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3729164
—
TN
01
—
DE1190
RAILROAD MEDICARE
TN
Enumeration date
03/09/2007
Last updated
10/23/2009
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