Individual
MRS. HALEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
507 N LAUREL ST, SUMMERVILLE, SC 29483-6558
(843) 875-0600
Mailing address
PO BOX 530062, ATLANTA, GA 30353-0062
(843) 875-0600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1116833
TX
363LF0000X
Family Nurse Practitioner
Primary
30401
SC
363LF0000X
Family Nurse Practitioner
APN.0102036-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NN1753
—
SC
Enumeration date
05/31/2020
Last updated
04/10/2026
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