Provider Demographics
NPI:1427377043
Name:HAYNES, JAMES CLIFTON (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CLIFTON
Last Name:HAYNES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2500 HOSPITAL BLVD STE 290
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4918
Mailing Address - Country:US
Mailing Address - Phone:470-956-4560
Mailing Address - Fax:770-475-8968
Practice Address - Street 1:2500 HOSPITAL BLVD STE 290
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4918
Practice Address - Country:US
Practice Address - Phone:470-956-4560
Practice Address - Fax:770-475-8968
Is Sole Proprietor?:No
Enumeration Date:2010-05-21
Last Update Date:2019-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA0770202086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery