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Individual

DOUGLAS ALAN HINES JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
11010 MONROE RD, MATTHEWS, NC 28105-8517
(704) 246-6989
Mailing address
8918 BLAKENEY PROFESSIONAL DR STE 120, CHARLOTTE, NC 28277-6692
(704) 900-8960
(704) 817-9523

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305214586
VA
225100000X
Physical Therapist
CP024194T
NC
225100000X
Physical Therapist
Primary
P23738
NC

Other

Enumeration date
08/09/2021
Last updated
12/23/2024
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