Individual
DR. HAZEL P. HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4519 WOODRUFF RD STE 10, COLUMBUS, GA 31904-6091
(706) 660-8001
(706) 660-8002
Mailing address
2410 STANLEY RD, DENTAC SUITE 200J, FORT SAM HOUSTON, TX 78234-7529
(210) 295-2743
(210) 295-2602
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
11586
TX
1223G0001X
General Practice Dentistry
Primary
DN008444
GA
Other
Enumeration date
07/18/2006
Last updated
03/17/2018
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