Individual provider · Type 1 NPI

Carla D. Hines, PA-C

Physician Assistant · Waldorf, MD

NPI number 1407059967 Active

Practice location

12070 Old Line Center Drive, Suite 210
Waldorf, MD 20602

Fax (240) 629-3953

Mailing address

PO Box 2348
Germantown, MD 20875-2348

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XC0002679 (MD)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407059967

Carla D. Hines, PA-C's National Provider Identifier is 1407059967, issued on Jun 11, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Waldorf, MD. The record was last updated on Mar 16, 2016.