Individual
SUSANNA LONG HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3716 MORGANTON DR, SUITE 1, FAYETTEVILLE, NC 28303-4963
(910) 565-5156
(910) 500-5813
Mailing address
905 EMELINE AVE, FAYETTEVILLE, NC 28303-5421
(910) 308-9843
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-09668
NC
Other
Enumeration date
01/07/2020
Last updated
04/09/2026
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