Individual
MS. HALEY L O'REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-2134
(404) 778-1900
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1841
(404) 778-1900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10318
GA
363A00000X
Physician Assistant
PA9109164
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016570700
—
FL
01
—
PA9109164
MEDICAL LICENSE
FL
Enumeration date
01/12/2016
Last updated
07/07/2021
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