| Heather B Haley, CNM | |
|
101 Harris Industrial Blvd Ste C, Vidalia, GA 30474-8852 | |
| (912) 537-1014 | |
| (912) 538-1538 |
| Full Name | Heather B Haley |
|---|---|
| Gender | Female |
| Speciality | Advanced Practice Midwife |
| Location | 101 Harris Industrial Blvd Ste C, Vidalia, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134624455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | RN217338 (Georgia) | Secondary |
| Entity Name | Careconnect Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063436624 PECOS PAC ID: 7810980794 Enrollment ID: O20040406001286 |
| Entity Name | Houston Physician Specialists, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265189476 PECOS PAC ID: 6800172461 Enrollment ID: O20170413001281 |
| Entity Name | Meadows Multispecialty Associates LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952990533 PECOS PAC ID: 6002223484 Enrollment ID: O20210407000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Heather B Haley, CNM 101 Harris Industrial Blvd Ste C, Vidalia, GA 30474-8852 Ph: (912) 537-1014 | Heather B Haley, CNM 101 Harris Industrial Blvd Ste C, Vidalia, GA 30474-8852 Ph: (912) 537-1014 |
Angelia Krontz Attaway, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 101 Harris Industrial Blvd, Vidalia, GA 30474 Phone: 912-537-1014 |