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NPI Code Detail

MEDICARE: DR. ANITA LYNN HAYNES MD

MEDICARE:  DR. ANITA LYNN HAYNES  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician57638GA

General Provider Information

NPI Number : 1649238411
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANITA LYNN HAYNES MD
Provider Business Mailing Address
First Line : 1745 PHOENIX BLVD
Second Line : SUITE 100
City : ATLANTA
State : GA
Zip : 30349-5591
Country : US
Telephone Number : 770-994-9326
Fax Number : 770-994-4747
Provider Business Practice Location Address
First Line : 1745 PHOENIX BLVD
Second Line : SUITE 100
City : ATLANTA
State : GA
Zip : 30349-5591
Country : US
Telephone Number : 770-994-9326
Fax Number : 770-994-4747
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 12/10/2021

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Directions to “ DR. ANITA LYNN HAYNES MD” Practice Location

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