Individual
DR. JIMMIE A HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
407 TIFFANY DR, SANFORD, NC 27330
(919) 774-6311
(919) 775-4115
Mailing address
613 GREENWOOD RD, CHAPEL HILL, NC 27514
(919) 929-7451
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3675
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8993718
—
NC
Enumeration date
09/26/2006
Last updated
07/08/2007
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