Individual
ANGELA L HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MN MPH
Contact information
Practice address
657 ATHENS ST, JEFFERSON, GA 30549-1474
(706) 367-7302
Mailing address
PO BOX 606, BRASELTON, GA 30517-0011
(706) 367-7302
(706) 367-7304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
199326
GA
Other
Enumeration date
01/31/2011
Last updated
01/31/2011
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