Individual
TAMMY MICHELLE HAIREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
85 JOHN MADDOX DRIVE CONNECTOR NW, ROME, GA 30165-1233
(762) 235-3730
(706) 234-9732
Mailing address
221 TECHNOLOGY PKWY NW, ROME, GA 30165-1369
(762) 235-1000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN094798
GA
Other
Enumeration date
07/21/2006
Last updated
07/29/2020
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