Individual
JENNIFER HAYNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
129 N WASHINGTON ST, SUMTER, SC 29150-4949
(803) 434-6771
(803) 434-3955
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51340
TN
207R00000X
Internal Medicine Physician
T67019992
VA
208M00000X
Hospitalist Physician
Primary
89114
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194013615
—
VA
05
—
Q006871
—
TN
Enumeration date
07/18/2011
Last updated
01/09/2023
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