Individual
DR. ZYQUEZE HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPH, PSYM, MD
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(470) 992-3658
(470) 264-7038
Mailing address
PO BOX 371795, DECATUR, GA 30037-1795
(470) 264-7038
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
67949
SC
207Q00000X
Family Medicine Physician
67949
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/20/2021
Last updated
06/24/2024
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