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1275504938

NPI Code Detail

MEDICARE: MR. JOE D HAINES JR. MD

MEDICARE: MR. JOE D HAINES JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	0101266309	VA
2	207Q00000X	Family Medicine Physician	E11917	AR
3	207Q00000X	Family Medicine Physician	MD046744	DC
4	207Q00000X	Family Medicine Physician	ME138605	FL
5	207Q00000X	Family Medicine Physician	2010-01612	NC
6	207Q00000X	Family Medicine Physician	40131	SC

General Provider Information

NPI Number	:	1275504938
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOE D HAINES JR. MD

Provider Business Mailing Address
First Line	:	2000 PERIMETER PARK DR STE 200
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-8442
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	75 FREEDOM PKWY STE C
Second Line	:
City	:	PITTSBORO
State	:	NC
Zip	:	27312-4939
Country	:	US
Telephone Number	:	919-545-0911
Fax Number	:	919-545-0096

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/31/2006
Last Update Date	:	05/10/2021

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Directions to “ MR. JOE D HAINES JR. MD” Practice Location

Language	Start Address	Practice Location

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