Individual
DR. JASON ANDREW HALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0006
(785) 239-7151
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0006
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
2021028956
MO
208D00000X
General Practice Physician
2021028956
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2020
Last updated
04/30/2024
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