| NPI | 1144629528 |
|---|---|
| Doing Business As | TERRIE HAYNES |
| Entity Type | Organization |
| Authorized Contact | TERRIE B HAYNES Owner/Practitioner 731-407-4922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: TN 6204) |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |