Wilson, Haley B.

Wilson, Haley B. is an individual health care provider with primary practice located at 725 Jesse Jewell Pkwy Se , Gainesville GA 30501-3834. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Wilson, Haley B. can be contacted via phone (770) 535-3611.

Contact Information

Primary practice address
725 Jesse Jewell Pkwy Se Gainesville GA 30501-3834
Phone: (770) 535-3611
Fax: (770) 535-7092
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 3272 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003272 Georgia

Profile Details

NPI number 1336111046
LBN Legal business name Wilson, Haley B.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2006
Last updated Aug 17th, 2023 - about 2 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 1336111046 NPPES
Georgia MEDICAID 100000359C
Georgia Other 303679
Georgia MEDICAID 100000358A
Georgia Other 10032996
Georgia Other 303676
Georgia Other 303673
Georgia Other 303686
Georgia MEDICAID 100000357A
Georgia MEDICAID 100000359B

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