NORTH GEORGIA GYN
Medical Practice at Acworth Due West Rd, Kennesaw, GA

License number
Georgia 036769
Category
Medical Practice
Type
Gynecology
Owner
Name: DR. JAMES P HALEY MD
Title: OWNER PRESIDENT
Phone: (770) 974-7010
Address
Address
3450 Acworth Due West Rd NW SUITE 380, Kennesaw, GA 30144
National Provider ID: 1023082930
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTH GEORGIA GYN, PC

Kennesaw, GA

Status:
Inactive
Industry:
Obgyn
Doing business as:
North Georgia Gyn
Registration:
Dec 9, 2005
Inactive since:
Sep 2, 2012
Phone:
(770) 974-7010 (Phone)
Addresses:
3450 Acworth Due West Rd NW SUITE 380, Kennesaw, GA 30144 (Physical)
3450 Acw Due W Rd NW, Kennesaw, GA 30144
State ID:
0601628
Business type:
Domestic Professional Corporation
Secretary:
P James Haley (Secretary), 3450 Acworth Due West Rd NW #13, Kennesaw, GA 30144 (Physical)
Agent:
James P. Haley,Md,3450 Acworth Due West Rd #380, Kennesaw, GA 30144 (Physical)

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