Individual
MS. HAYDEN SQUIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
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
(404) 785-5437
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12358
GA
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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