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NPI Code Detail

MEDICARE: DR. HAYNE DOUGLAS MCMEEKIN MD

MEDICARE: DR. HAYNE DOUGLAS MCMEEKIN 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
12084P0800XPsychiatry Physician8329SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1CJ5560OTHERSCRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2570629234002OTHERSCBCBS

General Provider Information

NPI Number : 1356306039
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HAYNE DOUGLAS MCMEEKIN MD
Provider Business Mailing Address
First Line : PO BOX 68
Second Line :
City : ROCK HILL
State : SC
Zip : 29731-6068
Country : US
Telephone Number : 803-327-6103
Fax Number : 803-328-5443
Provider Business Practice Location Address
First Line : 2400 W MAIN ST
Second Line :
City : ROCK HILL
State : SC
Zip : 29732-8968
Country : US
Telephone Number : 803-327-6103
Fax Number : 803-328-5443
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 05/13/2008

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