Individual
HALEY EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7601 SOUTHCREST PKWY, SOUTHAVEN, MS 38671-4739
(661) 772-4000
Mailing address
6321 BRAYBOURNE PL, OLIVE BRANCH, MS 38654-6563
(901) 262-3357
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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