DR. Andre Vontral Haynes, M.D. is a general practice in Stockbridge, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee DR. Andre Vontral Haynes, M.D. NPI is 1174857940. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
229 RUGGED CREEK DR
STOCKBRIDGE, GA
ZIP 30281-568
Phone: (404) 783-0792
The NPI 1174857940 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/28/2009 and was last updated on 11/29/2018.