Individual
CARVER HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101272401
VA
207Q00000X
Family Medicine Physician
E-12837
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2018
Last updated
08/15/2025
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