Individual
DR. MARK PHILLIP HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
119 W 21ST ST, NORFOLK, VA 23517-2224
(757) 627-2700
(757) 627-2709
Mailing address
409 GOODSPEED RD, VIRGINIA BEACH, VA 23451-2206
(757) 627-2700
(757) 627-2709
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104002052
VA
Other
Enumeration date
12/30/2006
Last updated
07/08/2007
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