Individual
MR. JOHNNY CARTER HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
193 FARMINGDON DR, ADEL, GA 31620-6896
(229) 539-5105
Mailing address
193 FARMINGDON DR, ADEL, GA 31620-6896
(229) 539-5105
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
01765
GA
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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