Individual
WILLIAM PAISLEY HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1587 VERNON RD, LAGRANGE, GA 30240-4146
(706) 884-2655
(706) 883-7670
Mailing address
1587 VERNON RD, LAGRANGE, GA 30240-4146
(706) 884-2655
(706) 883-7670
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
8424
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000180496A
—
GA
Enumeration date
08/17/2006
Last updated
09/22/2010
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