Individual
HALEY M MANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
101 HOUSTON ST, BARNESVILLE, GA 30204-1660
(770) 358-1961
(770) 358-9233
Mailing address
101 HOUSTON ST, BARNESVILLE, GA 30204-1660
(770) 358-1961
(770) 358-9233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042079
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000786739A
—
GA
01
—
C16001
RAILROAD MEDICARE
GA
Enumeration date
10/06/2006
Last updated
05/08/2008
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