Doctor Name: | JAMES PATRICK HALEY |
NPI Number: | 1043250269 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 036769 |
Business Practice Address: | 100 Stoneforest Dr Suite 200 Woodstock, GA - 301894880 |
Business Phone Number: | 7707207733 |
Business Fax Number: | 6784939875 |
Mailing Address: | 227 Riverstone Dr, CANTON |
State: | GA |
Postal Code: | 301145256 |
Phone Number: | 7707207733 |
Fax Number: | 6784939875 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 01/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207VG0400X |
License Number: | 036769 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | Gynecology |
Taxonomy Definition: |