Individual
PETER C HAINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 PALMETTO HEALTH PKWY STE 100, COLUMBIA, SC 29212-1761
(803) 907-7100
(803) 907-7109
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
13063
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
570926300
TAX I.D. NUMBER
SC
05
—
TL5189
—
SC
Enumeration date
07/27/2006
Last updated
07/09/2020
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