NPI 1003135336
Haynes Sports Medicine
Practice location
- Address
- 6335 Hospital Pkwy STE 302, Johns Creek, GA 30097-5712
- Phone
- (678) 513-8111
- Fax
- (678) 990-1956
- Mailing address
- 2065 Southers Cir, Suwanee, GA 30024-5487
Authorised official
- Name
- William Bryce Haynes
- Title
- Owner/Surgeon
- Phone
- (678) 513-8111
Registered specialties (2)
Orthopaedic Surgery Physician
Primary
Sports Medicine (Orthopaedic Surgery) Physician
Registry record
- NPI
- 1003135336
- Entity type
- Organization
- NPI issued
- 26 May 2010
- Record last updated
- 21 Nov 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.