Individual
MICHAEL COLLINS HADLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2001 CRYSTAL SPRING AVE SW STE 201, ROANOKE, VA 24014-2465
(540) 853-0100
(540) 342-9308
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110010461
VA
363A00000X
Physician Assistant
2274
SC
363A00000X
Physician Assistant
C5-0012183
DE
363AS0400X
Surgical Physician Assistant
006576
GA
363AS0400X
Surgical Physician Assistant
2274
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006576
LICENSE
GA
Enumeration date
10/11/2012
Last updated
05/12/2026
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