Individual
MARTHA TANESHA HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERTIFIED HAIR LOSS
Contact information
Practice address
4880 LOWER ROSWELL RD STE 106, MARIETTA, GA 30068-4300
(404) 988-6645
Mailing address
4880 LOWER ROSWELL RD STE 106, MARIETTA, GA 30068-4300
(240) 421-2872
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
423537
GA
1744P3200X
Prosthetics Case Management
Primary
423537
MD
Other
Enumeration date
05/08/2020
Last updated
06/02/2026
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