Individual
TIMOTHY C HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1938 CHARLIE HALL BLVD UNIT B, CHARLESTON, SC 29414-6099
(843) 402-0227
(843) 402-0232
Mailing address
1938 CHARLIE HALL BLVD UNIT B, CHARLESTON, SC 29414-6099
(843) 402-0227
(843) 402-0232
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
3577
SC
363AM0700X
Medical Physician Assistant
MA057825
PA
Other
Enumeration date
09/15/2015
Last updated
12/16/2020
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