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Contact Information

ELBERT E HINES III, MD
6263 POPLAR AVE
STE 1052
MEMPHIS, TN38119-4736
 Phone: 901-761-6157
 Fax: 901-213-4513
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ELBERT E HINES III · (Male)

NPI # 1801896881
Status Active
Credentials MD
Entity Individual
Enumeration date 07/29/2005
Last updated 05/06/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TN License # MD15653
  • TN Medicaid 3017714
  • TN Other 2008944 BLUECROSS&BLUESHIELD
  • TN Other 080040881 RAILROAD MEDICARE
Hospital affiliation(s)
  • METHODIST HEALTHCARE MEMPHIS HOSPITALS - (Acute Care)
    1265 UNION AVE SUITE 700
    MEMPHIS, TN 38104
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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