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Contact Information

JASON A HALLEY, DO
1120 15TH ST
AUGUSTA, GA30912-0006
 Phone: 785-239-7151
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JASON A HALLEY · (Male)

NPI Number 1760018188
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/17/2020
Last updated 04/30/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • MO License # 2021028956
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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