Haynes, Dale Leigh

Haynes, Dale Leigh is an individual health care provider with primary practice located at 2675 N Decatur Rd , Decatur GA 30033-6131. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Haynes, Dale Leigh can be contacted via phone (404) 508-7689.

Contact Information

Primary practice address
2675 N Decatur Rd Decatur GA 30033-6131
Phone: (404) 508-7689
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN137191 Georgia

Profile Details

NPI number 1679545974
LBN Legal business name Haynes, Dale Leigh
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Apr 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679545974 NPPES
Georgia MEDICAID 000777488E

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