Hayles-Patterson, Jacquline Naudia

Hayles-Patterson, Jacquline Naudia is an individual health care provider with primary practice located at 2775 Cruse Rd Suite 2101, Lawrenceville GA 30044-7140. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Hayles-Patterson, Jacquline Naudia can be contacted via phone (678) 380-1200.

Contact Information

Primary practice address
2775 Cruse Rd Suite 2101 Lawrenceville GA 30044-7140
Fax: (678) 380-7494
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 051329 Georgia

Profile Details

NPI number 1518938091
LBN Legal business name Hayles-Patterson, Jacquline Naudia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Mar 26th, 2013 - about 13 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 1518938091 NPPES
Georgia MEDICAID 000976115B

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