Individual
MR. GERALD WAYNE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPH
Contact information
Practice address
1200 S WILLOW AVE, COOKEVILLE, TN 38506-4157
(931) 432-0890
Mailing address
3631 BROOKSTONE DR, COOKEVILLE, TN 38506-5810
(931) 432-4437
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5348
TN
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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