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Individual

MR. JERRY DAVID HINTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPO, LPED, BOCPO, CO

Contact information

Practice address
1044 S CUMBERLAND ST, MORRISTOWN, TN 37813-5235
(423) 318-8824
(423) 318-2872
Mailing address
1044 S CUMBERLAND ST, MORRISTOWN, TN 37813-5235
(423) 318-8824
(423) 318-2872

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
ORT0000000138
TN
224P00000X
Prosthetist
Primary
PRO0000000072
TN

Other

Enumeration date
09/29/2009
Last updated
12/19/2019
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