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Individual

DOUGLAS HANEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
703 LEONARD AVE, ALBEMARLE, NC 28001-5257
(704) 550-0050
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
(704) 631-0002

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
101569
NC

Other

Enumeration date
06/23/2006
Last updated
03/09/2022
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