Doctor Name: | MARK HINTON |
NPI Number: | 1437534633 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ATC, FR, FDM |
License Number: | AT 469 |
Business Practice Address: | 131 Barnhill Arena Office Office 116a Fayetteville, AR - 72701 |
Business Phone Number: | 4795755150 |
Business Fax Number: | |
Mailing Address: | 6258 W Copper Ridge Ln, FAYETTEVILLE |
State: | AR |
Postal Code: | 727046071 |
Phone Number: | 4732495487 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2015 |
NPI Last Update Date: | 07/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | AT 469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |