Individual
MR. PHILLIP K HAYNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN- CRNA
Contact information
Practice address
550 FORT LOUDOUN MEDICAL CENTER DRIVE, LENOIR CITY, TN 37772-5673
(865) 777-0909
(865) 777-0910
Mailing address
12752 KINGSTON PIKE, STE E202, KNOXVILLE, TN 37934-0948
(865) 777-0909
(865) 777-0910
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
10379
TN
367500000X
Certified Registered Nurse Anesthetist
134640
TN
367500000X
Certified Registered Nurse Anesthetist
RN134640
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000323889
BCBS KY
KY
05
—
200200100A
—
OK
05
—
3630220
—
TN
01
—
4022222
BLUE CROSS/BLUE SHIELD
TN
01
—
621867095003
BLUE CROSS/BLUE SHIELD
OK
05
—
74005836
—
KY
05
—
74005844
—
KY
01
—
P00632195
RAILROAD MEDICARE PIN
—
Enumeration date
09/30/2005
Last updated
01/11/2011
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