Individual
MR. JEFFREY H HAYNES
Active
Individual
MR. JEFFREY H HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0101042925
VA
2086S0120X
Pediatric Surgery Physician
Primary
0101042925
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010040892
—
VA
01
—
P00013797
RR MEDICARE
VA
Enumeration date
11/02/2005
Last updated
10/11/2007
Update your record
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