Carla D. Hines, PA-C

NPI #1407059967 in Waldorf, Maryland

Provider Information

NPI Number: 1407059967
Entity Type: Individual
Name: Carla D. Hines, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 11, 2007
Last Updated: Mar 16, 2016

Practice Location

Address: 12070 OLD LINE CENTER DRIVE
Address 2: SUITE 210
City: Waldorf
State: Maryland
ZIP Code: 20602
Phone: (240) 629-3952

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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