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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