Haviland-Foley, Dolores J
Haviland-Foley, Dolores J is an sole proprietor health care provider with primary practice located at 101 St. Joseph'S Candler Drive Suite 200, Pooler GA 31322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Haviland-Foley, Dolores J can be contacted via phone (912) 748-1999.Contact Information
Primary practice address
101 St. Joseph'S Candler Drive Suite 200
Pooler GA 31322
Phone: (912) 748-1999
Fax: (912) 748-3847
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 046860 | Georgia |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 46860 | Georgia |
Profile Details
| NPI number | 1023002730 |
|---|---|
| LBN Legal business name | Haviland-Foley, Dolores J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 8th, 2005 |
| Last updated | May 15th, 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 | 1023002730 | NPPES |
| Georgia | Other | 08CBCND | MEDICARE |
| Georgia | MEDICAID | 200480198D | MEDICARE |
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