| Doctor Name: | WILLIAM DANA HAITHCOCK |
| NPI Number: | 1003856287 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 22303 |
| Business Practice Address: | 2029 Valleygate Dr Suite 101 Fayetteville, NC - 283043688 |
| Business Phone Number: | 9103232103 |
| Business Fax Number: | 9103232219 |
| Mailing Address: | 2029 Valleygate Dr, Suite 101 FAYETTEVILLE |
| State: | NC |
| Postal Code: | 283043688 |
| Phone Number: | 9103232103 |
| Fax Number: | 9103232219 |
| NPI Enumeration Date: | 06/07/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 22303 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |