Most Relevant Information
Provider Data
| NPI Number: | 1003527714 |
| Provider Name: | CALLIE HAYNES FNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN287090 |
Most Important Dates
| Enumeration Date: | 12/13/2022 |
| Last Updated: | 12/13/2022 |
Provider Practice Location
1622 MADISON AVE
TIFTON
GA
317943756
Practice Location Phone/Fax
| Phone: | 2293878061 |
| Fax: |
Provider Mailing Location
532 OSPREY CIR
TIFTON
GA
317941672
Provider Mailing Phone/Fax
| Phone: | 2293262996 |
| Fax: |