Individual
ANGELA DAWN HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10825 HWY 64W, BOLIVAR, TN 38008
(731) 658-5291
Mailing address
1375 HARD ROCK RD, SAVANNAH, TN 38372-5118
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
145728
TN
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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