Individual
DR. ROBERT STEPHEN HINES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1190 FILBERT HWY STE 110, YORK, SC 29745-9324
(803) 628-0004
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
16452
SC
2083X0100X
Occupational Medicine Physician
Primary
16452
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164529
—
SC
Enumeration date
10/05/2005
Last updated
11/15/2018
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