Individual
MONIQUE MELLISSA HAYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-4417
Mailing address
509 MICHAEL CIR, MONROE, GA 30655-8469
(678) 776-6655
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
RN274070
GA
Other
Enumeration date
06/19/2020
Last updated
06/19/2020
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