Haley Thaxton Gainor in Fayetteville - Physician Assistant

Haley Thaxton Gainor - NPI 1730101841

Haley Thaxton Gainor is a Physician Assistant in Fayetteville, Georgia. Haley Thaxton Gainor practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Haley Thaxton Gainor is 1730101841. The last update date is 2014-06-03.

Haley Thaxton Gainor's current location address is 1265 Highway 54 W, Fayetteville, Georgia. You can contact this provider via phone number 7714601900 and fax number 7707191214. The mailing address for Haley Thaxton Gainor is 1265 Highway 54 W, Fayetteville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Haley Thaxton Gainor
Address 1265 Highway 54 W, Fayetteville, Georgia
Phone Number 7714601900
Fax Number 7707191214
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1730101841
Provider Enumeration Date 2006-07-25
Last Updated Date 2014-06-03

Provider Mailing Address Detail

Address 1265 Highway 54 W
City Fayetteville
State Georgia (GA)
Post Code 302144548
Phone Number 7714601900
Fax Number 7707191214

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 4816
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00888417 GA RR MEDICARE
026138165A GA --

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FAQs about Haley Thaxton Gainor

What is the unique identifier code issued to Haley Thaxton Gainor by the Centers for Medicare & Medicaid Services?

The Haley Thaxton Gainor has been assigned the NPI (National Provider Identifier) 1730101841. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Haley Thaxton Gainor?

The Haley Thaxton Gainor is situated at 1265 Highway 54 W, in the city of Fayetteville, state of GA, with the zip code 302144548.

What is the area of specialization for Haley Thaxton Gainor, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Haley Thaxton Gainor is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.

On what date did the Haley Thaxton Gainor receive the assignment of its 1730101841 from the Centers for Medicare & Medicaid Services?

The Haley Thaxton Gainor was issued its 1730101841 by the Centers for Medicare & Medicaid Services on 2006-07-25.

As of what date was the information regarding Haley Thaxton Gainor, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Haley Thaxton Gainor, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-06-03.

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