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NPI Code Detail

MEDICARE: KATHERINE M HAYNIE DC

MEDICARE: KATHERINE M HAYNIE DC
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
1111N00000XChiropractor1168SC

General Provider Information

NPI Number : 1508815986
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE M HAYNIE DC
Provider Business Mailing Address
First Line : 413 FARRS BRIDGE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29617-1858
Country : US
Telephone Number : 864-246-0803
Fax Number : 864-246-0555
Provider Business Practice Location Address
First Line : 413 FARRS BRIDGE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29617-1858
Country : US
Telephone Number : 864-246-0803
Fax Number : 864-246-0555
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2006
Last Update Date : 07/08/2007

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Directions to “ KATHERINE M HAYNIE DC” Practice Location

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