Individual
HALEY SCRUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
575 1ST ST, MACON, GA 31201-2825
(478) 743-9762
(478) 743-9465
Mailing address
575 1ST ST, MACON, GA 31201-2825
(478) 743-9762
(478) 743-9465
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN227515
GA
363LF0000X
Family Nurse Practitioner
Primary
RN227515
GA
Other
Enumeration date
01/09/2017
Last updated
11/15/2021
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