Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 63031 | WI |
Y | 207T00000X | Neurosurgeon | 85515 | SC |
N | 207T00000X | Neurosurgeon | ME143888 | FL |
NPI | 1114260783 |
---|---|
Provider Name | Clayton Lee Haldeman |
First Address | Charlotte, NC 28275-1649 |
Second Address | Charleston, SC 29414-5894 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/04/2013 |
Last Update Date | 19/08/2021 |