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Individual

TONYA TERESE HAILES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1660 COLUMBIA ROAD NW, WASHINGTON, DC 20009-3697
(202) 328-3717
(202) 548-8600
Mailing address
1660 COLUMBIA ROAD NW, WASHINGTON, DC 20009-3697
(202) 328-3717
(202) 588-8101

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C50611319
DC
207Q00000X
Family Medicine Physician
Primary
MD036199
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
061712500
DC
Enumeration date
03/20/2007
Last updated
01/30/2018
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