Individual
DR. SUSAN JEAN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1908 CAUDLE DR STE 200, MOUNT AIRY, NC 27030-4322
(336) 783-6935
(336) 783-6934
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
2000-00229
NC
207RX0202X
Medical Oncology Physician
Primary
2000-00229
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006005306
—
VA
01
—
126FM
BLUE CROSS BLUE SHIELD
NC
01
—
3097131
AETNA HMO
—
01
—
3608287
UNITED HEALTH CARE
—
01
—
37156
PARTNERS NATIONAL HEALTH
—
01
—
4474243
AETNA PPO
—
05
—
89126FM
—
NC
01
—
900004457
RAILROAD MEDICARE
—
Enumeration date
01/25/2006
Last updated
11/16/2024
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