| Elisa J Haley Md Pc | |
|
4800 Whitesport Cir Sw Suite 1 Huntsville AL 35801-6444 | |
| (256) 327-0888 | |
| (256) 327-0891 |
| Full Name | Elisa J Haley Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 4800 Whitesport Cir Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Elisa J Haley (PRESIDENT) |
| Authorized Official Contact | 2563270888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elisa J Haley Md Pc 4800 Whitesport Cir Sw Suite 1 Huntsville AL 35801-6444 Ph: (256) 327-0888 | Elisa J Haley Md Pc 4800 Whitesport Cir Sw Suite 1 Huntsville AL 35801-6444 Ph: (256) 327-0888 |
| NPI Number | 1649431313 |
|---|---|
| Provider Enumeration Date | 06/24/2008 |
| Last Update Date | 01/16/2012 |
| Medicare PECOS PAC ID | 3870657430 |
|---|---|
| Medicare Enrollment ID | O20090126000507 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649431313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 27081 (Alabama) | Primary |
| Provider Name | Elisa J Haley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114092830 PECOS PAC ID: 8527151000 Enrollment ID: I20070830000003 |
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