person
Robert Desha Hines IV, MD
Student in an Organized Health Care Education/Training Program in Birmingham, Alabama
NPI 1396900197

Robert Desha Hines IV is a Student in an Organized Health Care Education/Training Program based in Birmingham, AL. Robert Desha Hines IV practices in Birmingham, AL and has the professional credentials of MD. The NPI Number for Robert Desha Hines IV is 1396900197 and holds a License No. MD.30751 (Alabama).

The current practice location address for Robert Desha Hines IV is 840 Montclair Rd, Birmingham, AL and can be reached out via phone at 205-592-5135. You can also correspond with Robert Desha Hines IV through the mailing address at 2000A SOUTHBRIDGE PKWY, BIRMINGHAM, AL - 35209-7718 (mailing address contact number: 205-871-4274).

Location: 840 Montclair Rd, Birmingham, AL, 35209-7718
person
Provider Profile Details
NPI Number
1396900197
Provider Name
Robert Desha Hines IV
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
840 Montclair Rd, Birmingham, AL, 35209-7718
Phone Number
205-592-5135
Fax Number
Provider Enumeration Date
07/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
149973 05 AL
149983 05 AL
511-35200 01 AL BLUE CROSS
511-35201 01 AL BLUE CROSS
150147 05 AL
511-35204 01 AL BLUE CROSS
148841 05 AL
511-35202 01 AL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
840 Montclair Rd
City
State
Zip
35213-1920
Phone Number
205-592-5135
Fax Number
person
Provider Business Mailing Address Details
Address
840 Montclair Rd
City
State
Zip
35213-1920
Phone Number
205-592-5135
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
License No.
()
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
MD.30751 (Alabama)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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