Individual
HALLIE JAYE FALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 BURNT HICKORY RD NW APT 936, MARIETTA, GA 30064-1374
(480) 862-9108
Mailing address
1001 BURNT HICKORY RD NW APT 936, MARIETTA, GA 30064-1374
(480) 862-9108
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
TEMP201610
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TEMP201610
REGISTERED NURSE
GA
Enumeration date
01/11/2021
Last updated
01/11/2021
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