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Individual

DR. RALEIGH ROGERS HAYNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2227 US HIGHWAY 41 N, TIFTON, GA 31794-2749
(229) 386-4200
Mailing address
907 18TH ST E STE 400, TIFTON, GA 31794-3684
(229) 353-3422

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
23171
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00232405A
GA
05
00232405B
GA
Enumeration date
08/12/2005
Last updated
12/01/2020
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