Provider Demographics
NPI:1477113884
Name:MCGOUGH, HALEY CATHRYN (MD)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:CATHRYN
Last Name:MCGOUGH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WOMEN'S CENTER
Mailing Address - Street 2:1801 SUNSET DRIVE, 2ND FLOOR
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203
Mailing Address - Country:US
Mailing Address - Phone:803-434-4127
Mailing Address - Fax:803-434-4155
Practice Address - Street 1:WOMEN'S CENTER
Practice Address - Street 2:1801 SUNSET DRIVE, 2ND FLOOR
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203
Practice Address - Country:US
Practice Address - Phone:803-434-4127
Practice Address - Fax:803-434-4155
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL82856207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology