Organization
TIMOTHY J. HALEY III MD APMC
Active
Organization
TIMOTHY J. HALEY III MD APMC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY JAMES HALEY III MD (PHYSICIAN/OWNER)
(888) 871-1500
Entity
Organization
Contact information
Practice address
1105 NORTHWEST BLVD, FRANKLIN, LA 70538-3409
(337) 828-9729
(337) 828-9740
Mailing address
PO BOX 357, JENNINGS, LA 70546-0357
(888) 871-1500
(337) 824-9731
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
011406
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1328707
—
LA
01
—
5M477DF12
MEDICARE GROUP PTAN
—
Enumeration date
06/25/2008
Last updated
12/08/2008
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