Individual provider · Type 1 NPI

Susanna Long Haley, PA

Medical Physician Assistant · Fayetteville, NC

NPI number 1124668231 Active

Practice location

3716 Morganton Dr, Suite 1
Fayetteville, NC 28303-4963

Call (910) 565-5156 Map

Fax (910) 500-5813

Mailing address

905 Emeline Ave
Fayetteville, NC 28303-5421

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-09668 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1124668231

Susanna Long Haley, PA's National Provider Identifier is 1124668231, issued on Jan 7, 2020. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fayetteville, NC. The record was last updated on Apr 9, 2026.