Provider Demographics
NPI:1447200985
Name:HINES, ANNE CREECH (MD)
Entity Type:Individual
Prefix:DR
First Name:ANNE
Middle Name:CREECH
Last Name:HINES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1738 ROBINHOOD RD
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27104-3250
Mailing Address - Country:US
Mailing Address - Phone:336-773-1994
Mailing Address - Fax:
Practice Address - Street 1:8025 N POINT BLVD
Practice Address - Street 2:SUITE 215-B
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-3262
Practice Address - Country:US
Practice Address - Phone:336-896-0954
Practice Address - Fax:336-896-0955
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC34041207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5903229Medicaid
NC5903229Medicaid