Provider Demographics
NPI:1073930988
Name:HINKLE, BENJAMIN TATE (MD, MPH)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:TATE
Last Name:HINKLE
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3504 US HIGHWAY 280
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35010-3375
Mailing Address - Country:US
Mailing Address - Phone:256-329-7887
Mailing Address - Fax:
Practice Address - Street 1:3368 HIGHWAY 280 STE 218
Practice Address - Street 2:
Practice Address - City:ALEXANDER CITY
Practice Address - State:AL
Practice Address - Zip Code:35010-3375
Practice Address - Country:US
Practice Address - Phone:256-329-7887
Practice Address - Fax:256-329-7898
Is Sole Proprietor?:No
Enumeration Date:2014-03-28
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL34514207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine