PHYLLIS DENISE HAYNES

BOGART, GA
NPI1750992913
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy3747A0650X Technician Attendant Care Provider
Enumeration Date2020-08-12
Last Update Date2020-08-12
Business Address
PHYLLIS DENISE HAYNES
1111 GLENWOOD LN
BOGART, GA 30622-2396
Phone number: 706-202-1577
Mailing Address
PHYLLIS DENISE HAYNES
1111 GLENWOOD LN
BOGART, GA 30622-2396
Phone number: 706-202-1577