Individual
EMILY ANNA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2233 NORTHWOODS BLVD, NORTH CHARLESTON, SC 29406-4007
(843) 773-9903
Mailing address
113 BREAKERS DR, APT 332, MYRTLE BEACH, SC 29579-4423
(330) 247-8295
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2317
SC
Other
Enumeration date
05/07/2015
Last updated
11/01/2019
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