Individual
MR. BRAIN HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
118 UNION ST, CLARKSVILLE, TN 37040-5115
(931) 647-8257
Mailing address
118 UNION ST, CLARKSVILLE, TN 37040-5115
(931) 647-8257
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/06/2008
Last updated
11/06/2008
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