Provider Demographics
NPI:1548600422
Name:HAYGOOD, ALLEN REED (RRT)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:REED
Last Name:HAYGOOD
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
Other - First Name:ALLEN
Other - Middle Name:
Other - Last Name:HAYGOOD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RRT
Mailing Address - Street 1:106 BRADD ST
Mailing Address - Street 2:
Mailing Address - City:SUMMERVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29483-3102
Mailing Address - Country:US
Mailing Address - Phone:423-779-6665
Mailing Address - Fax:
Practice Address - Street 1:109 BEE ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-5703
Practice Address - Country:US
Practice Address - Phone:843-789-7217
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6372227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered