Individual
MARY C HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2526 5TH ST N STE B, COLUMBUS, MS 39705-2019
(662) 269-0592
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907473
MS
Other
Enumeration date
08/28/2025
Last updated
04/15/2026
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