Basic Information
| Provider Information | |||||||||
| NPI: | 1275504938 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAINES | ||||||||
| FirstName: | JOE | ||||||||
| MiddleName: | D | ||||||||
| NamePrefix: | MR. | ||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2000 PERIMETER PARK DR STE 200 | ||||||||
| Address2: | |||||||||
| City: | MORRISVILLE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275608442 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 75 FREEDOM PKWY STE C | ||||||||
| Address2: | |||||||||
| City: | PITTSBORO | ||||||||
| State: | NC | ||||||||
| PostalCode: | 273124939 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9195450911 | ||||||||
| FaxNumber: | 9195450096 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2006 | ||||||||
| LastUpdateDate: | 05/10/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/10/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 0101266309 | VA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | E11917 | AR | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MD046744 | DC | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | ME138605 | FL | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 2010-01612 | NC | Y | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | 40131 | SC | N | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.