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Haynes Medical Clinic

Clinic/Center, Primary Care in Paris, TN. Organization (NPI-2).

NPI number1629200464
StatusActive
Last updated in NPPESNov 21, 2016

Details

NPI
1629200464
Entity type
Organization (NPI-2)
Legal business name
Haynes Medical Clinic
Organization subpart
No
Enumeration date
Aug 12, 2009
Last updated
Nov 21, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary CareAPN12936TNYes

Practice location

1116 N Market St
Paris, TN 38242-3206

Phone 731-642-7060 · Fax 731-641-7565

Mailing address

1009 East Wood St
Paris, TN 38242

Phone 731-407-9700 · Fax 731-641-7565

Authorized official

Terrie B Watson
Fnp
7314079700

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