| Doctor Name: | DR. GREGORY TREY HAUNSON |
| NPI Number: | 1902111016 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O. |
| License Number: | UO2453 |
| Business Practice Address: | 148 Bill Carruth Pkwy. Suite 280 Hiram, GA - 30141 |
| Business Phone Number: | 6783633343 |
| Business Fax Number: | 6783633380 |
| Mailing Address: | 875 Johnson Ferry Rd. Ne, Suite 300 ATLANTA |
| State: | GA |
| Postal Code: | 30342 |
| Phone Number: | 4042579933 |
| Fax Number: | 4042579931 |
| NPI Enumeration Date: | 08/12/2010 |
| NPI Last Update Date: | 06/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | UO2453 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |