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Individual

DR. JOHN H. HALEY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1500 ROSS CLARK CIR, DOTHAN, AL 36301-4754
(334) 793-2663
(334) 836-2247
Mailing address
PO BOX 729, DOTHAN, AL 36302-0729
(334) 793-2663
(334) 836-2247

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
3899
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
515-21924
BCBS OF AL 1500 RCC
AL
01
515-21926
BCBS OF AL 4300 W MAIN
AL
Enumeration date
08/12/2005
Last updated
07/08/2007
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