Individual
STEPHANIE MCNAMARA HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, OTC
Contact information
Practice address
2001 PEACHTREE RD NE, SUITE 705, ATLANTA, GA 30309-1476
(404) 425-1165
(404) 425-1063
Mailing address
3552 CHATTAHOOCHEE SUMMIT LN SE, ATLANTA, GA 30339-3290
(404) 558-4485
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT001430
GA
246ZS0410X
Surgical Technologist
Primary
07-0802
GA
Other
Enumeration date
09/22/2006
Last updated
09/11/2010
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