Judith B. Haley in Gainesville - Pediatrics

Judith B. Haley - NPI 1740255900

Judith B. Haley is a Pediatrics in Gainesville, Georgia. Judith B. Haley practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Judith B. Haley is 1740255900. The last update date is 2012-03-23.

Judith B. Haley's current location address is Po Box 658, Gainesville, Georgia. You can contact this provider via phone number 7707181122 and fax number 7705348998. The mailing address for Judith B. Haley is Po Box 658, Gainesville, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Judith B. Haley
Address Po Box 658, Gainesville, Georgia
Phone Number 7707181122
Fax Number 7705348998
Sole Proprietor N
Credentials CPNP

NPI Number Detail

NPI Number 1740255900
Provider Enumeration Date 2006-02-21
Last Updated Date 2012-03-23

Provider Mailing Address Detail

Address Po Box 658
City Gainesville
State Georgia (GA)
Post Code 305030658
Phone Number 7707181122
Fax Number 7705348998

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 363Lp0200X
Licence No RN139047
Definition:
An advanced practice registered nurse expert in providing care to infants, children and adolescents.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
303398 GA WELLCARE
000820388E GA --
000820388C GA --
303396 GA WELLCARE
000820388H GA --
303397 GA WELLCARE
000820388G GA --
10032985 GA AMERIGROUP
303384 GA WELLCARE

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FAQs about Judith B. Haley

What is the unique 10-digit identifier code assigned to Judith B. Haley by the Centers for Medicare & Medicaid Services?

The Judith B. Haley has been issued the NPI (National Provider Identifier) 1740255900 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Judith B. Haley is physically located?

The Judith B. Haley is physically situated at the following address: Po Box 658, Gainesville, GA, 305030658.

What is Judith B. Haley's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Judith B. Haley is Pediatrics, and the taxonomy classification code that categorizes this area of expertise is 363Lp0200X.

When did Judith B. Haley receive its 1740255900 assignment?

The Judith B. Haley was assigned its 1740255900 on 2006-02-21, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Judith B. Haley most recently updated or revised?

The information pertaining to Judith B. Haley, including its address, specialty, and other relevant details, was last updated or revised on 2012-03-23.

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