Individual
DR. JONATHAN LEE HAIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5925 CLEVELAND AVE, SUITE B, COLUMBUS, OH 43231
(614) 776-4646
(614) 398-0039
Mailing address
5925 CLEVELAND AVE, SUITE B, COLUMBUS, OH 43231
(614) 776-4646
(614) 398-0039
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
35066575
OH
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
36.066575
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0259170
—
OH
Enumeration date
09/21/2005
Last updated
06/24/2021
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