Doctor Name: | LINDSEY WATSON HAYNES |
NPI Number: | 1447429683 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 1080900 |
Business Practice Address: | 24 Alicia Lane Ste 7 Dahlonega, GA - 305331637 |
Business Phone Number: | 7063916555 |
Business Fax Number: | 7063916557 |
Mailing Address: | Po Box 658, GAINESVILLE |
State: | GA |
Postal Code: | 305030658 |
Phone Number: | 7707181122 |
Fax Number: | 7705357445 |
NPI Enumeration Date: | 02/21/2008 |
NPI Last Update Date: | 07/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 1080900 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |