Individual
DR. STACY JEANENE HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3825 LORNA RD, SUITE 240, BIRMINGHAM, AL 35244-3005
(256) 831-8100
(256) 831-8128
Mailing address
3825 LORNA RD, SUITE 240, BIRMINGHAM, AL 35244-3005
(256) 831-8100
(256) 831-8128
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
15551
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000089332
—
AL
01
—
051007669
BCBS
AL
01
—
051007695
BCBS
AL
Enumeration date
01/02/2007
Last updated
07/17/2009
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