Individual
HEATHER L. HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
810 FRANKLIN ST SE, SUITE A, HUNTSVILLE, AL 35801-4310
(256) 533-7676
(256) 533-3171
Mailing address
810 FRANKLIN ST SE, SUITE A, HUNTSVILLE, AL 35801-4310
(256) 533-7676
(256) 533-3171
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DO943
AL
207RN0300X
Nephrology Physician
Primary
DO943
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009910519
—
AL
05
—
009910540
—
AL
01
—
E683
MEDICARE GROUP
AL
Enumeration date
05/02/2007
Last updated
05/05/2010
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