Individual
TYLER GRAY HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2316 WALKER BUILDING, AUBURN UNIVERSITY, AL 36849-0001
(256) 493-7328
Mailing address
78 CREEKSIDE CIR, TALLADEGA, AL 35160-4226
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S12396
AL
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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