Provider Demographics
NPI:1073215372
Name:MCEVOY, HALEY JEANNE (PA-C)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:JEANNE
Last Name:MCEVOY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 CARRIAGE LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-3003
Mailing Address - Country:US
Mailing Address - Phone:978-729-7304
Mailing Address - Fax:
Practice Address - Street 1:1123 QUEENSBOROUGH BLVD STE 102
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3682
Practice Address - Country:US
Practice Address - Phone:843-380-8002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4616207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyFemale Pelvic Medicine and Reconstructive Surgery