Individual
MRS. CYNTHIA R. HINES
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1808 W MAIN ST, RUSSELLVILLE, AR 72801-2724
(479) 964-9119
(479) 964-9491
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(479) 968-4273
(479) 968-1363
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
R4250
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54979
ARK BLUE CROSS
AR
Enumeration date
03/24/2006
Last updated
07/08/2007
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