Individual
HAYLIE M YINGST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4039 GATEWAY BLVD, STE 102, GROVETOWN, GA 30813-3195
(706) 210-9534
(706) 210-9536
Mailing address
PO BOX 5545, AUGUSTA, GA 30916-5545
(803) 441-0025
(803) 441-0031
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
3153
SC
225200000X
Physical Therapy Assistant
Primary
PTA003254
GA
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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