Individual
WILLIAM MARK HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
912 W MAIN ST, HOMER, LA 71040-3328
(318) 927-3571
(318) 927-2677
Mailing address
PO BOX 29, HOMER, LA 71040-0029
(318) 927-3571
(318) 927-2677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
017831
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1347086
—
LA
Enumeration date
08/31/2006
Last updated
03/09/2015
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