Haynes, Deborah Elaine

Haynes, Deborah Elaine is an individual health care provider with primary practice located at 350 Country Club Dr Suite D, Stockbridge GA 30281-9084. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Haynes, Deborah Elaine can be contacted via phone (770) 474-1919.

Contact Information

Primary practice address
350 Country Club Dr Suite D Stockbridge GA 30281-9084
Phone: (770) 474-1919
Fax: (770) 474-7832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 043639 Georgia

Profile Details

NPI number 1104807395
LBN Legal business name Haynes, Deborah Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Oct 6th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104807395 NPPES
Georgia Other 2197226 AETNA PROVIDER ID
Georgia Other 52636390 AETNA PROVIDER ID
Georgia Other 1641247 AETNA PROVIDER ID
Georgia Other 5282621 AETNA PROVIDER ID

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