Haywood, Tommie

Haywood, Tommie is an individual health care provider with primary practice located at 2665 N Decatur Rd Suite 350, Decatur GA 30033-6149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Haywood, Tommie can be contacted via phone (678) 553-0226.

Contact Information

Primary practice address
2665 N Decatur Rd Suite 350 Decatur GA 30033-6149
Fax: (678) 553-0029
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 49420 Georgia

Profile Details

NPI number 1811979339
LBN Legal business name Haywood, Tommie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2005
Last updated Apr 28th, 2014 - about 11 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 1811979339 NPPES
Georgia MEDICAID 640122796D

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