Dr. Randall Stuart Hines
Reproductive Endocrinologist
2500 Lakeland Dr
Flowood
, Mississippi 39232-7641
Dr. Randall Stuart Hines
Reproductive Endocrinologist
2500 Lakeland Dr
Flowood
, Mississippi 39232-7641
(866) 491-0274
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About
Features
Specialties
- Reproductive Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Randall Stuart Hines
- 2500 Lakeland Dr
- Flowood, MS
- Zip : 39232-7641
- Fax : (866) 491-0274
- Phone : (601) 936-3650
Second Address
- Dr. Randall Stuart Hines
- 2500 Lakeland Dr
- Flowood, MS
- Zip : 39232-7641
- Fax : (866) 491-0274
- Phone : (601) 936-3650
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VE0102X | Reproductive Endocrinologist | 12123 | MS |
National Provider Identifier
| NPI | 1306877634 |
|---|---|
| Provider Name | Dr. Randall Stuart Hines |
| First Address | Flowood, MS 39232-7641 |
| Second Address | Flowood, MS 39232-7641 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 19/01/2022 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00116795 | (05) | MS |
| 08103071 | UP MEDICAID GROUP PROV# (01) | MS |
| 09014712 | (05) | MS |
| 160039613 | RR MEDICARE NUMBER (01) | MS |
| 512G700003 | UP MEDICARE GROUP PROV# (01) | MS |
| 512I160006 | MEDICARE PTAN (01) | MS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.