Individual
DR. HALEY CELESTE CRAIG-KOVACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
19475 OLD JETTON RD STE 200, CORNELIUS, NC 28031-6591
(704) 384-1775
(704) 384-1776
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
RTL23
NC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RTL23-0923
NC
Other
Enumeration date
04/14/2023
Last updated
07/18/2023
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