Individual
HALEY HODOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4850 SUGARLOAF PKWY STE 101, LAWRENCEVILLE, GA 30044-2860
(678) 490-8300
(415) 252-7176
Mailing address
4850 SUGARLOAF PKWY STE 101, LAWRENCEVILLE, GA 30044-2860
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN282527
GA
Other
Enumeration date
02/06/2020
Last updated
04/18/2025
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