Individual provider · Type 1 NPI
Andre Vontral Haynes, MD
General Practice Physician · Stockbridge, GA
NPI number
1174857940
Active
Practice location
229 Rugged Creek Dr
Stockbridge, GA 30281-4568
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician | 208D00000X | MD.29119 (AL) |
| General Practice Physician Primary | 208D00000X | 68818 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
Other general practice physician providers in Stockbridge
About NPI 1174857940
Andre Vontral Haynes, MD's National Provider Identifier is 1174857940, issued on Sep 28, 2009. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Stockbridge, GA. The record was last updated on Nov 29, 2018.