Individual
KATHLEEN HERRINGTON HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-8656
Mailing address
510 FOREST HEIGHTS DR, ATHENS, GA 30606-2410
(706) 614-3223
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN088149
GA
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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