Individual
DR. RYAN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 FAIRVIEW RD, MOORESVILLE, NC 28117-9500
(704) 660-4000
Mailing address
3101 LATROBE DR, CHARLOTTE, NC 28211-4849
(704) 376-7362
(704) 376-1939
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2005-00619
NC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
200500619
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5901088
—
NC
05
—
N0061A
—
SC
Enumeration date
01/27/2006
Last updated
04/23/2026
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