Individual
DR. SIVANTHINI HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1810 MULKEY RD, SUITE 201, AUSTELL, GA 30106-1151
(770) 819-9262
(678) 945-1295
Mailing address
1810 MULKEY RD, SUITE 201, AUSTELL, GA 30106-1151
(770) 819-9262
(678) 945-1295
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
048646
GA
Other
Enumeration date
10/26/2005
Last updated
12/07/2011
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