Individual provider · Type 1 NPI

Loren Haynes Kleimeyer Halbrooks, PA-C

Surgical Physician Assistant · Marietta, GA

NPI number 1780008995 Active

Practice location

300 Tower Rd NE Ste 200
Marietta, GA 30060-9403

Fax (770) 425-4183

Mailing address

Northside Hospital- Managed Care Dept, 1000 Johnson Ferry Rd
Atlanta, GA 30342-1606

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X007089 (GA)
Surgical Physician Assistant Primary 363AS0400X007089 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1780008995

Loren Haynes Kleimeyer Halbrooks, PA-C's National Provider Identifier is 1780008995, issued on Feb 7, 2014. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Marietta, GA. The record was last updated on Mar 7, 2019.