| NPI | 1396106530 |
|---|---|
| Doing Business As | HAYNES MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TERRIE B HAYNES WATSON Nurse Practitioner 731-407-4922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 12936) |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2016-03-16 |