Provider Demographics
NPI:1578501375
Name:JOYNES, ANGELA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:
Last Name:JOYNES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ANGELA
Other - Middle Name:
Other - Last Name:HALLETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 150
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:TN
Mailing Address - Zip Code:38402
Mailing Address - Country:US
Mailing Address - Phone:931-490-0006
Mailing Address - Fax:931-490-0042
Practice Address - Street 1:1301 HATCHER LN
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401
Practice Address - Country:US
Practice Address - Phone:931-490-0006
Practice Address - Fax:931-490-0042
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2010-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN26804207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3043980OtherBLUE CROSS #
TN26804OtherSTATE LICENSE #
TN3714618Medicaid
TN26804OtherSTATE LICENSE #
TN3714618Medicaid