| Gregory D. Haynes, Md P.c. | |
|
401 Mulberry St Sw Suite 206 Lenoir NC 28645-5463 | |
| (828) 572-1770 | |
| (828) 572-1763 |
| Full Name | Gregory D. Haynes, Md P.c. |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 401 Mulberry St Sw, Lenoir, North Carolina |
| Authorized Official Name and Position | Gregory D Haynes (PRESIDENT) |
| Authorized Official Contact | 8285721770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gregory D. Haynes, Md P.c. 401 Mulberry St Sw Suite 206 Lenoir NC 28645-5463 Ph: (828) 572-1770 | Gregory D. Haynes, Md P.c. 401 Mulberry St Sw Suite 206 Lenoir NC 28645-5463 Ph: (828) 572-1770 |
| NPI Number | 1134327141 |
|---|---|
| Provider Enumeration Date | 07/11/2007 |
| Last Update Date | 08/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134327141 | NPI | - | NPPES |
| 2628362 | Medicaid | MI | |
| 5909243 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 2008-00455 (North Carolina) | Primary |
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