Dr. William B Haynes JR.
Sports Medicine Orthopaedic Surgeon
6335 Hospital Pkwy Ste 302
Johns Creek
, Georgia 30097-5712
Dr. William B Haynes JR.
Sports Medicine Orthopaedic Surgeon
6335 Hospital Pkwy Ste 302
Johns Creek
, Georgia 30097-5712
(678) 990-1956
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About
Features
Specialties
- Sports Medicine Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Dr. William B Haynes JR.
- 2065 Southers Cir
- Suwanee, GA
- Zip : 30024-5487
- Fax : (678) 990-1956
- Phone : (678) 513-8111
Second Address
- Dr. William B Haynes JR.
- 6335 Hospital Pkwy Ste 302
- Johns Creek, GA
- Zip : 30097-5712
- Fax : (678) 990-1956
- Phone : (678) 513-8111
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 35897 | GA |
National Provider Identifier
| NPI | 1063436103 |
|---|---|
| Provider Name | Dr. William B Haynes JR. |
| First Address | Suwanee, GA 30024-5487 |
| Second Address | Johns Creek, GA 30097-5712 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 21/11/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| E39212 | (02) | |
| E39212 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.