Individual provider · Type 1 NPI

Haley B. Queen, PA

Medical Physician Assistant · Gainesville, GA

NPI number 1780989582 Active

Practice location

743 Spring St NE
Gainesville, GA 30501

Mailing address

PO Box 742616
Atlanta, GA 30374-2616

Other practice locations

  • 200 S. Enota Drive, Suite #380, Gainesville, GA 30501-3473 · (770) 219-7099
  • 200 S. Enota Drive, Suite #380, Gainesville, GA 30501-3473 · (770) 219-7099

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400XNone listed
Medical Physician Assistant Primary 363AM0700X006086 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1780989582

Haley B. Queen, PA's National Provider Identifier is 1780989582, issued on Jan 26, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gainesville, GA. The record was last updated on Jan 22, 2021.