Individual
MR. JARED MICHAEL HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
403 WOODCHASE WAY, WOODSTOCK, GA 30188-2052
(678) 956-1272
Mailing address
403 WOODCHASE WAY, WOODSTOCK, GA 30188-2052
(678) 956-1272
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
5008
—
363AS0400X
Surgical Physician Assistant
Primary
5008
—
Other
Enumeration date
03/28/2019
Last updated
06/06/2022
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