Organization
HAYNES SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRYCE HAYNES JR. MD (OWNER/SURGEON)
(678) 513-8111
Entity
Organization
Contact information
Practice address
6335 HOSPITAL PKWY STE 302, JOHNS CREEK, GA 30097-5712
(678) 513-8111
(678) 990-1956
Mailing address
2065 SOUTHERS CIR, SUWANEE, GA 30024-5487
(678) 513-8111
(678) 990-1956
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
05/26/2010
Last updated
11/21/2017
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