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Individual

DANIEL HANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
2704 N OAK ST, SUITE B-3, VALDOSTA, GA 31602-1744
(229) 257-0100
Mailing address
3924 CUTTER PT, VALDOSTA, GA 31605-7026
(229) 460-1528

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN195429
GA

Other

Enumeration date
09/10/2016
Last updated
09/10/2016
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