Phyllis Denise Haynes

NPI #1750992913 in Bogart, Georgia

Provider Information

NPI Number
1750992913
Entity Type
Individual
Name
Phyllis Denise Haynes
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician - Attendant Care Provider
Enumeration Date
Aug 12, 2020
Last Updated
Aug 12, 2020

Practice Location

Address
1111 GLENWOOD LN
City
Bogart
State
Georgia
ZIP Code
30622-2396
Phone
(706) 202-1577

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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