Provider Demographics
NPI:1972584514
Name:HINSON, MARK SIDNEY (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:SIDNEY
Last Name:HINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:410 42ND AVE N STE 400
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-3658
Mailing Address - Country:US
Mailing Address - Phone:615-329-7887
Mailing Address - Fax:615-346-6225
Practice Address - Street 1:832 WESTOVER DR STE 200
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-4843
Practice Address - Country:US
Practice Address - Phone:931-380-3033
Practice Address - Fax:931-388-3401
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2024-03-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN30425208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3824847Medicaid
TN3824847Medicaid
TNG73393Medicare UPIN