Provider Demographics
NPI:1073834370
Name:HAYGOOD, MARK ALAN (DO)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:ALAN
Last Name:HAYGOOD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3209 MIDTOWN PARK S
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36606-4126
Mailing Address - Country:US
Mailing Address - Phone:251-525-9090
Mailing Address - Fax:251-525-9091
Practice Address - Street 1:3209 MIDTOWN PARK S
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36606-4126
Practice Address - Country:US
Practice Address - Phone:251-525-9090
Practice Address - Fax:251-525-9091
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2019-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALDO.10962084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry