Individual
HALEY S GAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3782 OLD US HIGHWAY 41 N STE C, VALDOSTA, GA 31602-6834
(229) 253-0067
Mailing address
6750 HUTCHINSON POND RD, HAHIRA, GA 31632-2006
(229) 300-2962
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH027271
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH027271
PHARMACIST LICENSE
GA
Enumeration date
01/10/2019
Last updated
01/10/2019
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