Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | 000923 | GA |
NPI | 1427235597 |
---|---|
Provider Name | Khadeja Haye |
First Address | Atlanta, GA 30331-8607 |
Second Address | Atlanta, GA 30303 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2008 |
Last Update Date | 30/01/2008 |