Healthcare Provider Details

I. General information

NPI: 1063340271
Provider Name (Legal Business Name): ROSALIND HAYWOOD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

526 E WEBSTER ST
THOMASVILLE GA
31792-4555
US

IV. Provider business mailing address

526 E WEBSTER ST
THOMASVILLE GA
31792-4555
US

V. Phone/Fax

Practice location:
  • Phone: 229-413-3445
  • Fax:
Mailing address:
  • Phone: 229-413-3445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN290096
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: