Derrick Haymon
NPI #1225628555 in Lillington, North Carolina
Provider Information
- NPI Number
- 1225628555
- Entity Type
- Individual
- Name
- Derrick Haymon
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jan 20, 2021
- Last Updated
- Oct 6, 2021
Practice Location
- Address
- 150 PINE NEEDLES DR
- City
- Lillington
- State
- North Carolina
- ZIP Code
- 27546-8035
- Phone
- (910) 580-5440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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