Individual
WILLIAM CALVIN HAIRE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
107A EUREKA ST, BATESVILLE, MS 38606-2533
(662) 563-4641
(662) 563-4099
Mailing address
PO BOX 1529, BATESVILLE, MS 38606-4029
(662) 563-4641
(662) 563-4099
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10476
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014378
—
MS
01
—
010060435
RAILROAD MEDICARE
MS
01
—
4401733
CIGNA
MS
Enumeration date
01/11/2006
Last updated
01/11/2012
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