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Contact Information

AMANDA V HAYNIE, MD
2225 LINE AVENUE
MID CITY PEDIATRICS
SHREVEPORT, LA71104
 Phone: 318-221-2225
 Fax: 318-459-2955
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for AMANDA V HAYNIE · (Female)

NPI # 1619311438
Status Active
Credentials MD
Entity Individual
Enumeration date 04/23/2013
Last updated 05/18/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 301709
  • OK License # 29920
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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