Individual
DR. SANDRA WAUTHENA HAYMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
401 OLD ALBANY RD, THOMASVILLE, GA 31792-4014
(229) 228-8100
(229) 228-8154
Mailing address
920 US HIGHWAY 84 W, THOMASVILLE, GA 31792-0510
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY005273
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00822214A
—
GA
Enumeration date
07/10/2006
Last updated
03/20/2024
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