Individual
DEBORAH WALCK HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
MCGUIRE VA MEDICAL CENTER, 1201 BROAD ROCK BLVD. (151), RICHMOND, AL 23249
(804) 675-6136
(804) 675-6536
Mailing address
14450 NEWTGATE RD., MIDLOTHIAN, AL 23113
(804) 379-2631
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110840188
VA
Other
Enumeration date
09/16/2006
Last updated
07/08/2007
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