Individual
HALEY E JOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3229 W MONTAGUE AVE UNIT 5121, NORTH CHARLESTON, SC 29418-7954
(360) 281-4700
Mailing address
3229 W MONTAGUE AVE UNIT 5121, NORTH CHARLESTON, SC 29418-7954
(360) 281-4700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
353684
SC
Other
Enumeration date
06/05/2026
Last updated
06/05/2026
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