Mary Haynes Wellness Center, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MD11058 Issued in TN

Legal business name

MARY HAYNES WELLNESS CENTER, PLLC

Practice address

5830 Mount Moriah Rd
Suite 18C
Memphis, TN 38115-1607

Phone

(901) 550-0229

Fax

(901) 794-7877

NPI assigned

Jun 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Linnie Reed Traylor, M.D.

Title

MD

Phone

(901) 550-0229

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1073807061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 BREEDLOVE ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381071640",
            "telephone_number": "901-550-0229",
            "fax_number": "901-794-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MOUNT MORIAH RD",
            "address_2": "SUITE 18C",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151607",
            "telephone_number": "901-550-0229",
            "fax_number": "901-794-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY HAYNES WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-07",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "TRAYLOR",
        "authorized_official_first_name": "LINNIE",
        "authorized_official_middle_name": "REED",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "901-550-0229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "TN",
            "license": "MD11058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Memphis, TN
• Providers in Memphis, TN by specialty
• Health Service Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.