Individual
MARK C HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
653 BLUEFIELD RD STE H, MOORESVILLE, NC 28117-9599
(704) 360-4378
(704) 696-8150
Mailing address
766 HARTNESS RD STE B, STATESVILLE, NC 28677-3485
(704) 873-5667
(704) 883-3228
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
200200234
NC
208VP0014X
Interventional Pain Medicine Physician
Primary
200200234
NC
Other
Enumeration date
10/11/2005
Last updated
08/04/2026
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