Provider Demographics
NPI:1790134856
Name:DENNIS, HAILEY (MMSC, CGC)
Entity Type:Individual
Prefix:
First Name:HAILEY
Middle Name:
Last Name:DENNIS
Suffix:
Gender:F
Credentials:MMSC, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1365 CLIFTON RD NE STE B2200
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-3597
Mailing Address - Fax:404-778-8562
Practice Address - Street 1:1365 CLIFTON RD NE STE B2200
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-5307
Practice Address - Country:US
Practice Address - Phone:404-778-3597
Practice Address - Fax:404-778-8562
Is Sole Proprietor?:No
Enumeration Date:2016-06-09
Last Update Date:2017-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS