Individual
WILLIAM DANA HAITHCOCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2029 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304-3688
(910) 323-2103
(910) 323-2219
Mailing address
2029 VALLEYGATE DR, SUITE 101, FAYETTEVILLE, NC 28304-3688
(910) 323-2103
(910) 323-2219
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
22303
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8938261
—
NC
Enumeration date
06/07/2006
Last updated
07/08/2007
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