Hines, Marcono Raymond

Hines, Marcono Raymond is an individual health care provider with primary practice located at 121 Park Central Dr Suite 200, Columbia SC 29203-6476. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Hines, Marcono Raymond can be contacted via phone (803) 252-9907.

Contact Information

Primary practice address
121 Park Central Dr Suite 200 Columbia SC 29203-6476
Fax: (803) 252-9906
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 34269 South Carolina

Profile Details

NPI number 1932375631
LBN Legal business name Hines, Marcono Raymond
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2008
Last updated Aug 30th, 2017 - about 8 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 1932375631 NPPES
South Carolina MEDICAID 342695

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