Haymon, Lee Tate

Haymon, Lee Tate is an individual health care provider with primary practice located at 581 Farringdom St , Lumberton NC 28358-2614. He recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Haymon, Lee Tate can be contacted via phone (910) 738-3913.

Contact Information

Primary practice address
581 Farringdom St Lumberton NC 28358-2614
Fax: (910) 738-3994
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 6038 North Carolina
Dental Providers / General Practice 1223G0001X 6038 North Carolina

Profile Details

NPI number 1184751463
LBN Legal business name Haymon, Lee Tate
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated Jun 22nd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184751463 NPPES
North Carolina MEDICAID 8993728

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