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Contact Information

CARLA D HINES, PA-C
12070 OLD LINE CENTER DRIVE
SUITE 210
WALDORF, MD20602
 Phone: 240-629-3952
 Fax: 240-629-3953
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CARLA D HINES · (Female)

NPI # 1407059967
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/11/2007
Last updated 03/16/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • MD License # C0002679
Hospital affiliation(s) Not Available
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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