Hines, Gregory Alan

Hines, Gregory Alan is an individual health care provider with primary practice located at 1311 S Locust Ave Ste 102 Suite 102, Lawrenceburg TN 38464-4054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Hines, Gregory Alan can be contacted via phone (931) 762-9416.

Contact Information

Primary practice address
1311 S Locust Ave Ste 102 Suite 102 Lawrenceburg TN 38464-4054
Phone: (931) 762-9416
Fax: (931) 762-0634
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD37386 Tennessee

Profile Details

NPI number 1134195860
LBN Legal business name Hines, Gregory Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jan 26th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134195860 NPPES
Tennessee Other 3729164 MEDICARE PTAN
Tennessee MEDICAID 3729164 MEDICARE PTAN

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