Individual
DR. HEATHER R HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
202 ROCK CREEK PARKWAY, FAIRHOPE, AL 36532-3349
(251) 928-3844
(251) 928-3353
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22797
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051516754
BLUE CROSS PROVIDER NO
AL
Enumeration date
11/09/2005
Last updated
11/09/2023
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