Individual
MRS. DORIS D HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1007 PENDLETON ST, GREENVILLE, SC 29601-2315
(864) 242-1747
Mailing address
5 WESTIN ST, TAYLORS, SC 29687-6341
(864) 505-6747
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
R40622
SC
163WR0400X
Rehabilitation Registered Nurse
R40622
SC
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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