Individual
HAILEY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-5437
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN294397
GA
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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