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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DERRICK HAYMON

Active Sole Proprietor

DERRICK HAYMON is a Prosthetic/Orthotic Supplier healthcare provider located in LILLINGTON, North Carolina. NPI 1225628555 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · LILLINGTON, NC

Registration Details

NPI Number
1225628555
Provider Type
Individual
Gender
Male
NPI Issued
Jan 20, 2021 (5.6034563428764 yrs)
Last Updated
Oct 6, 2021
Sole Proprietor
Yes

Practice Information

Address
150 PINE NEEDLES DR
LILLINGTON, NC, 275468035
Browse NC providers · Browse ZIP 27546
Phone
9105805440
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.