Individual
MR. JAMES BEAUMONT HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
8811 HIGHWAY 92, SUITE 106, WOODSTOCK, GA 30189-6508
(678) 592-8248
(678) 324-6071
Mailing address
8811 HIGHWAY 92, SUITE 106, WOODSTOCK, GA 30189-6508
(678) 592-8248
(678) 324-6071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN135542
GA
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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