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Adam J Haley, DO
General Practice Physician in Camp Lejeune, North Carolina
NPI 1235714619

Adam J Haley is a General Practice Physician based in Portsmouth, NC. Adam J Haley practices in Camp Lejeune, NC and has the professional credentials of DO. The NPI Number for Adam J Haley is 1235714619 and holds a License No. (North Carolina).

The current practice location address for Adam J Haley is 165 I Street, Camp Lejeune, NC and can be reached out via phone at 910-386-9158.

Location: 165 I Street, Camp Lejeune, NC, 23708-2111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235714619
Provider Name
Adam J Haley
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
165 I Street, Camp Lejeune, NC, 23708-2111
Phone Number
910-386-9158
Fax Number
Provider Enumeration Date
03/16/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0102207435 01 VA MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
165 I Street
City
Camp Lejeune
State
North Carolina
Zip
28547
Phone Number
910-386-9158
Fax Number
person
Provider Business Mailing Address Details
Address
165 I Street
City
Camp Lejeune
State
North Carolina
Zip
28547
Phone Number
910-386-9158
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
0102207435 (Virginia)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
0102207435 (Virginia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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