Gainor, Haley Thaxton

Gainor, Haley Thaxton is an individual health care provider with primary practice located at 1265 Highway 54 W Suite 102, Fayetteville GA 30214-4548. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gainor, Haley Thaxton can be contacted via phone (771) 460-1900.

Contact Information

Primary practice address
1265 Highway 54 W Suite 102 Fayetteville GA 30214-4548
Phone: (771) 460-1900
Fax: (770) 719-1214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 004816 Georgia

Profile Details

NPI number 1730101841
LBN Legal business name Gainor, Haley Thaxton
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jun 3rd, 2014 - about 12 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 1730101841 NPPES
Georgia Other P00888417 RR MEDICARE
Georgia MEDICAID 026138165A RR MEDICARE

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