Individual
DR. MARCONO RAYMOND HINES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
121 PARK CENTRAL DR, SUITE 200, COLUMBIA, SC 29203-6476
(803) 252-9907
(803) 252-9906
Mailing address
121 PARK CENTRAL DR, SUITE 200, COLUMBIA, SC 29203-6476
(803) 252-9907
(803) 252-9906
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
34269
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342695
—
SC
Enumeration date
05/02/2008
Last updated
08/30/2017
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