Individual
JAMES PATRICK HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 STONEFOREST DR, SUITE 200, WOODSTOCK, GA 30189-4880
(770) 720-7733
(678) 493-9875
Mailing address
227 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 720-7733
(678) 493-9875
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
036769
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000539987E
—
GA
05
—
000539987F
—
GA
05
—
000539987G
—
GA
Enumeration date
06/07/2006
Last updated
01/05/2015
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