Individual
JOHN HAVERKAMP
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1100 E ASH ST, GOLDSBORO, NC 27530-5102
(919) 734-0944
(919) 734-1921
Mailing address
PO BOX 1399, GOLDSBORO, NC 27533-1399
(919) 734-0944
(919) 734-1921
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
24161
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02920
BCBS
—
05
—
8940465
—
NC
Enumeration date
11/17/2005
Last updated
07/08/2007
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