Individual provider · Type 1 NPI
Deborah Walck Haynes, PA
Medical Physician Assistant · Richmond, AL
NPI number
1073619938
Active
Practice location
Mcguire Va Medical Center, 1201 Broad Rock Blvd. (151)
Richmond, AL 23249
Fax (804) 675-6536
Mailing address
14450 Newtgate Rd.
Midlothian, AL 23113
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0110840188 (VA) |
Medical Physician Assistant: Definition to come...
About NPI 1073619938
Deborah Walck Haynes, PA's National Provider Identifier is 1073619938, issued on Sep 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Richmond, AL. The record was last updated on Jul 8, 2007.