Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | 5171 | AL |
NPI | 1487789939 |
---|---|
Provider Name | Dr. Hayley Harwell Welsh |
First Address | Opelika, AL 36801-2156 |
Second Address | Opelika, AL 36801-3730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 08/07/2007 |