Hines, Randall Stuart

Hines, Randall Stuart is an sole proprietor health care provider with primary practice located at 2500 Lakeland Dr , Flowood MS 39232-7641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Reproductive Endocrinology, which is considered as his primary health care specialty. Hines, Randall Stuart can be contacted via phone (601) 936-3650.

Contact Information

Primary practice address
2500 Lakeland Dr Flowood MS 39232-7641
Phone: (601) 936-3650
Fax: (866) 491-0274
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Reproductive Endocrinology 207VE0102X 12123 Mississippi

Profile Details

NPI number 1306877634
LBN Legal business name Hines, Randall Stuart
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 5th, 2006
Last updated Jan 19th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306877634 NPPES
Mississippi MEDICAID 09014712
Mississippi Other 160039613
Mississippi MEDICAID 00116795
Mississippi Other 08103071
Mississippi Other 512I160006
Mississippi Other 512G700003

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