Individual
MARK C HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 MEDICAL PARK RD, SUITE 310, MOORESVILLE, NC 28117-8540
(704) 360-2260
(704) 360-2274
Mailing address
170 MEDICAL PARK RD, SUITE 310, MOORESVILLE, NC 28117-8540
(704) 360-2260
(704) 360-2274
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
200200234
NC
Other
Enumeration date
10/11/2005
Last updated
09/19/2014
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