Individual
AUTUMN LOUISE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 HOSPITAL DR., 1ST FL, ATHENS, OH 45701
(740) 592-4491
(740) 592-4844
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.014385
OH
Other
Enumeration date
02/26/2018
Last updated
08/12/2021
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