Individual
DR. CARROLL F HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
515 THOMPSON ST, SUITE A, EDEN, NC 27288-5068
(336) 627-5271
(336) 623-5182
Mailing address
515 THOMPSON ST, SUITE A, EDEN, NC 27288-5068
(336) 627-5271
(336) 623-5182
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
26004
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38210
BLUECROSS AND BLUESHIELD
NC
05
—
8938210
—
NC
Enumeration date
10/03/2005
Last updated
09/25/2008
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