Haley, Donna Carol
Haley, Donna Carol is an sole proprietor health care provider with primary practice located at 687 Marietta Hwy , Canton GA 30114-2608. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Haley, Donna Carol can be contacted via phone (770) 479-8040.Contact Information
Primary practice address
687 Marietta Hwy
Canton GA 30114-2608
Phone: (770) 479-8040
Fax: (770) 479-7871
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 040916 | Georgia |
Profile Details
| NPI number | 1659337442 |
|---|---|
| LBN Legal business name | Haley, Donna Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 21st, 2006 |
| Last updated | Oct 30th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659337442 | NPPES |
| Other | 07/27/1959 | DATE OF BIRTH |
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