Individual
GEORGIA HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 FAWN CROSSING LN, ELKVIEW, WV 25071-6189
(304) 965-1734
Mailing address
PO BOX 13193, CHARLESTON, WV 25360-0193
(304) 965-1734
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/02/2021
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