Individual
CLARE HALEY EALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2265 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-7462
(336) 716-8575
(336) 702-9265
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 713-0947
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-10250
NC
Other
Enumeration date
09/14/2020
Last updated
02/17/2025
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