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Contact Information

GLYNNIS J HALEY, NP-C
250 MARTIN LUTHER KING JR BLVD
MACON, GA31201
 Phone: 478-301-4111
 Fax: 478-301-5812
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GLYNNIS J HALEY · (Female)

NPI # 1063585248
Status Active
Credentials NP-C (Nurse Practitioner - Certified)
Entity Individual
Enumeration date 11/16/2006
Last updated 07/17/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RN115633
  • GA Medicaid 000934304C
  • GA Other 500025995 RAILROAD MEDICARE
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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