Haugabrook, Clarisa Genay

Haugabrook, Clarisa Genay is an individual health care provider with primary practice located at 350 Country Club Dr Suite D, Stockbridge GA 30281-9084. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Haugabrook, Clarisa Genay can be contacted via phone (770) 474-1919.

Contact Information

Primary practice address
350 Country Club Dr Suite D Stockbridge GA 30281-9084
Phone: (770) 474-1919
Fax: (770) 474-7832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 056295 Georgia

Profile Details

NPI number 1255322053
LBN Legal business name Haugabrook, Clarisa Genay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Oct 21st, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255322053 NPPES
Georgia MEDICAID 246296281F

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