Organization
ELBERTON SURGICAL LLC
Active
Other names
DR WILLIAM HALEY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM KENDRIC HALEY M.D. (MANAGING MEMBER)
(706) 213-6618
Entity
Organization
Contact information
Practice address
4 MEDICAL DRIVE, 4TH FLOOR, ELBERTON, GA 30635-1830
(706) 213-6618
(706) 283-6124
Mailing address
4 MEDICAL DR, 4TH FLOOR, ELBERTON, GA 30635-1830
(706) 213-6618
(706) 283-6124
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
031754
GA
Other
Enumeration date
12/04/2006
Last updated
08/22/2020
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