Individual
DR. MARCUS JOHNSON HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
705 TOWN BLVD NE STE S550, BROOKHAVEN, GA 30319-7216
(404) 869-1912
Mailing address
6397 LEE HWY, CHATTANOOGA, TN 37421-2564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1192799
TX
225100000X
Physical Therapist
8470
TN
225100000X
Physical Therapist
Primary
PT013707
GA
Other
Enumeration date
10/19/2009
Last updated
07/14/2021
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