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1730101841
HALEY THAXTON GAINOR
FAYETTEVILLE, GA
NPI
1730101841
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Former Name
HALEY E THAXTON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 004816)
Enumeration Date
2006-07-25
Last Update Date
2014-06-03
Business Address
HALEY THAXTON GAINOR PA-C
1265 HIGHWAY 54 W SUITE 102
FAYETTEVILLE, GA 30214-4548
Phone number: 771-460-1900
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Mailing Address
HALEY THAXTON GAINOR PA-C
900 CIRCLE 75 PKWY SE SUITE 1700
ATLANTA, GA 30339-3035
Phone number: 770-953-6929
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