Hunter Hines
Internal Medicine in Jackson, MS. Individual provider (NPI-1).
NPI number1942904073
StatusActive
Last updated in NPPESJul 13, 2023
Details
- NPI
- 1942904073
- Entity type
- Individual (NPI-1)
- Name
- Hunter Hines
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2023
- Certification date
- Jul 7, 2023
- Last updated
- Jul 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | T-4953 | MS | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
2500 N State StJackson, MS 39216-4500
Phone 601-984-1000
Mailing address
196 Sweetbriar CircleCanton, MS 39046
Phone 318-366-6799
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