Provider Demographics
NPI:1558632638
Name:WARREN A HINSON, MD, PC
Entity Type:Organization
Organization Name:WARREN A HINSON, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:HINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-252-4525
Mailing Address - Street 1:5064 ROSWELL RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-2281
Mailing Address - Country:US
Mailing Address - Phone:404-252-4525
Mailing Address - Fax:404-252-4525
Practice Address - Street 1:5064 ROSWELL RD
Practice Address - Street 2:D-201
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-2281
Practice Address - Country:US
Practice Address - Phone:404-252-4525
Practice Address - Fax:404-252-6935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-20
Last Update Date:2012-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA203182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty