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Individual

DR. DOUGLAS BRANDT HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
207 OAK PARK, MC MINNVILLE, TN 37110-1336
(931) 473-9624
(931) 473-7718
Mailing address
207 OAK PARK, MC MINNVILLE, TN 37110-1336
(931) 473-9624
(931) 473-7718

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD10334
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3191762
TN
05
3384004
TN
Enumeration date
02/13/2006
Last updated
05/13/2015
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