Haley, Keianna S
Haley, Keianna S is an sole proprietor health care provider with primary practice located at 10692 Medlock Bridge Rd Ste 100 , Johns Creek GA 30097-8497. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Gynecologic Oncology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Haley, Keianna S can be contacted via phone (404) 446-2497.Contact Information
Primary practice address
10692 Medlock Bridge Rd Ste 100
Johns Creek GA 30097-8497
Phone: (404) 446-2497
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | CNM04739 | Georgia |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | RN273633 | Georgia |
Profile Details
| NPI number | 1831699966 |
|---|---|
| LBN Legal business name | Haley, Keianna S |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2018 |
| Last updated | Feb 17th, 2021 - about 3 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 | 1831699966 | NPPES |
| Georgia | MEDICAID | 003201850 |
Popular Providers
-
Alonso, Zin Htet
10692 Medlock Bridge Rd Ste 100A , Johns Creek GA 30097-8497 -
Narvaez Roberts, Jennifer Lynn
6335 Hospital Pkwy Ste 502 , Johns Creek GA 30097-1549 -
Mmbaga, Natu Naomi
10692 Medlock Bridge Rd Ste 100A , Johns Creek GA 30097-8497 -
Anthony, Betty L.
6300 Hospital Pkwy Ste 200 , Johns Creek GA 30097-1984 -
Williams, George Allen
3719 Old Alabama Rd Suite 300-G, Box 175, Johns Creek GA 30022-8675 -
Keating, Jana Platz
6335 Hospital Pkwy Ste 502 , Johns Creek GA 30097-1549 -
Zippay, Shelley Lyn
10692 Medlock Bridge Rd Ste 100A , Johns Creek GA 30097-8497 -
Song, Mimi Kim
10692 Medlock Bridge Rd Ste 100A , Johns Creek GA 30097-8497