Organization
HEALTHSOUTH MEN'S CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L HINES M.D. (DOCTOR)
(910) 483-4938
Entity
Organization
Contact information
Practice address
3637 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 483-4938
(910) 483-3094
Mailing address
3637 CAPE CENTER DR, FAYETTEVILLE, NC 28304-4457
(910) 483-4938
(910) 483-3094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
42514
BCBS-DR HINES
NC
01
—
4665208
AETNA DR SALCEDO
NC
05
—
5906149
—
NC
05
—
8942514
—
NC
Enumeration date
05/17/2007
Last updated
07/21/2022
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