Individual
MR. ROBERT HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 ATLANTA RD, SUITE E, CUMMING, GA 30040-2679
(770) 889-1023
(770) 205-1061
Mailing address
216 ATLANTA RD, SUITE E, CUMMING, GA 30040-2679
(770) 889-1023
(770) 205-1061
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
005183
GA
Other
Enumeration date
01/19/2015
Last updated
01/19/2015
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