| Doctor Name: | WALTER GEORGE HAYNES |
| NPI Number: | 1043263536 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 17510 |
| Business Practice Address: | 513 Brookwood Blvd Ste. 75 Birmingham, AL - 352096862 |
| Business Phone Number: | 2052506805 |
| Business Fax Number: | 2052506580 |
| Mailing Address: | Po Box 830230, BIRMINGHAM |
| State: | AL |
| Postal Code: | 352830230 |
| Phone Number: | 2052506000 |
| Fax Number: | 2052506848 |
| NPI Enumeration Date: | 05/18/2006 |
| NPI Last Update Date: | 03/24/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 17510 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |