Individual
MACKIE LEE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
41 WELLINGTON MILL RD, WHITESBURG, GA 30185-2606
(770) 836-0504
(770) 834-8261
Mailing address
41 WELLINGTON MILL RD, POB 339, WHITESBURG, GA 30185-2606
(770) 836-0504
(770) 834-8261
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN045227NP
GA
Other
Enumeration date
05/04/2006
Last updated
12/15/2011
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