Individual
CHARLES MALCOLM HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
(828) 277-4810
Mailing address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2015-01461
NC
207R00000X
Internal Medicine Physician
39531
SC
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
77820
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881681617
—
NC
01
—
19262
HEALTH NEW ENGLAND
MA
05
—
3112624
—
MA
05
—
395316
—
SC
01
—
J17404
BLUE CROSS
MA
Enumeration date
10/06/2005
Last updated
12/07/2016
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