Individual
DR. WILLIAM KENDRIC HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
4 MEDICAL DR, 4TH FLOOR, ELBERTON, GA 30635-1830
(706) 213-6618
(706) 283-6124
Mailing address
4 MEDICAL DR, 4TH FLOOR, ELBERTON, GA 30635-1830
(706) 213-6618
(706) 283-6124
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
031754
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000387318C
—
GA
Enumeration date
07/03/2006
Last updated
02/15/2010
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