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Contact Information

E E HINES III MD, PC
6263 POPLAR AVE
STE 1052
MEMPHIS, TN38119-4701
 Phone: 901-761-6157
 Fax: 901-761-4145
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for E E HINES III MD, PC

NPI # 1083758122
LBN Legal business name E E HINES III MD, PC
Authorized official ELBERT HINES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2007
Last updated 02/11/2015 - About 11 years ago
Identifiers
TN Medicaid 3389063
Other 002008944 BLUE CROSS BLUE SHIELD
Other 4409209005 CIGNA
TN Other CL0583 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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