Provider Demographics
NPI:1790900926
Name:HINDS, GREGORY GEORGE
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:GEORGE
Last Name:HINDS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 DORER AVE
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:OH
Mailing Address - Zip Code:43906-1605
Mailing Address - Country:US
Mailing Address - Phone:740-676-3287
Mailing Address - Fax:
Practice Address - Street 1:72500 MERCER RD
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-8305
Practice Address - Country:US
Practice Address - Phone:740-695-5920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2333844374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide