Provider Demographics
NPI:1841775707
Name:HINNANT, MARGARET S
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:S
Last Name:HINNANT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 275
Mailing Address - Street 2:
Mailing Address - City:KENLY
Mailing Address - State:NC
Mailing Address - Zip Code:27542-0275
Mailing Address - Country:US
Mailing Address - Phone:919-284-4025
Mailing Address - Fax:919-284-5965
Practice Address - Street 1:101 E 2ND ST
Practice Address - Street 2:
Practice Address - City:KENLY
Practice Address - State:NC
Practice Address - Zip Code:27542-7794
Practice Address - Country:US
Practice Address - Phone:919-284-4025
Practice Address - Fax:919-284-5965
Is Sole Proprietor?:No
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5010892363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily