Provider Demographics
NPI:1881858819
Name:HINES, DIXIE (MD)
Entity Type:Individual
Prefix:DR
First Name:DIXIE
Middle Name:
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 1:31 KING RAIL LN
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-1859
Mailing Address - Country:US
Mailing Address - Phone:843-681-6812
Mailing Address - Fax:843-681-6812
Practice Address - Street 1:31 KING RAIL LN
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-1859
Practice Address - Country:US
Practice Address - Phone:843-681-6812
Practice Address - Fax:843-681-6812
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13154208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation