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Individual

BRIAN K HINCHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1900 KILDAIRE FARM RD, CARY, NC 27518-6616
(919) 350-8000
Mailing address
3100 SPRING FOREST RD, SUITE 101, RALEIGH, NC 27616-2880
(919) 873-9533
(919) 873-9821

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
276726
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
75814
NC
367500000X
Certified Registered Nurse Anesthetist
RN278929COA1
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12324756
CAQH
05
2703613
OH
01
H053530
MEDICARE PTAN
OH
01
P01003885
MEDICARE RAILROAD
OH
Enumeration date
01/25/2007
Last updated
11/03/2017
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