Individual
MR. CHARLES H. HANEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
740 HIGH ST STE 2001, WILLIAMSPORT, PA 17701-3102
(570) 321-3165
(570) 321-3166
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
(570) 326-8723
(570) 326-8922
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA001405L
PA
Other
Enumeration date
03/15/2006
Last updated
10/02/2020
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