Individual
WALTER GEORGE HAYNES III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
513 BROOKWOOD BLVD, STE. 75, BIRMINGHAM, AL 35209-6862
(205) 250-6805
(205) 250-6580
Mailing address
PO BOX 830230, BIRMINGHAM, AL 35283-0230
(205) 250-6000
(205) 250-6848
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
17510
AL
208D00000X
General Practice Physician
17510
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000033398
—
AL
Enumeration date
05/18/2006
Last updated
03/24/2015
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