Individual
DR. LEE TATE HAYMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
581 FARRINGDOM ST, LUMBERTON, NC 28358-2614
(910) 738-3913
(910) 738-3994
Mailing address
104 4TH ST, BLADENBORO, NC 28320-9407
(910) 863-2733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6038
NC
1223P0300X
Periodontics
6038
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993728
—
NC
Enumeration date
02/27/2007
Last updated
06/22/2023
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