Individual
SHACONNA HALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRENATAL BIRTH DOULA
Contact information
Practice address
1101 N CROSSING WAY, DECATUR, GA 30033-4159
(571) 435-0994
Mailing address
1101 N CROSSING WAY, DECATUR, GA 30033-4159
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
374J00000X
DOULA
GA
Enumeration date
08/01/2017
Last updated
08/01/2017
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