Individual
MRS. HALEY BARROW SCOUTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(678) 819-0357
Mailing address
1030 LANCASTER WALK NW, ATLANTA, GA 30328-4860
(404) 825-3849
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005219
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
541705141J
—
GA
05
—
541705141K
—
GA
05
—
541705141L
—
GA
Enumeration date
01/14/2008
Last updated
06/11/2012
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