Individual
MR. BERT SINCLAIR HAYDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.P.T
Contact information
Practice address
300 RAWLS DR, STE 700A, MCCOMB, MS 39648-2872
(601) 684-0355
(601) 250-0476
Mailing address
300 RAWLS DR, STE 700A, MCCOMB, MS 39648-2872
(601) 684-0355
(601) 250-0476
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0012
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5171268
AETNA
MS
01
—
650024398
PALMETTO RAILROAD
MS
Enumeration date
05/26/2005
Last updated
03/15/2013
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