Individual
DR. HAILEY WILSON MCKINLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
10 SAINT JOHNS MEDICAL PARK DR STE C, ST AUGUSTINE, FL 32086-5202
(904) 794-1000
Mailing address
42 BIRD ISLAND DR, ST AUGUSTINE, FL 32080-6204
(812) 661-0931
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
25687
FL
Other
Enumeration date
05/03/2021
Last updated
05/10/2021
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