Individual
CHARLES MALCOLM HINES
Active
Individual
CHARLES MALCOLM HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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