Individual
DALE LEIGH HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2675 N DECATUR RD, DECATUR, GA 30033-6131
(404) 508-7689
Mailing address
705 RICHMOND GLEN DR, ALPHARETTA, GA 30004-8208
(404) 791-5784
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN137191
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000777488E
—
GA
Enumeration date
02/02/2006
Last updated
04/03/2020
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