Provider Demographics
NPI:1255084430
Name:MCGAHA, HALEY (RDN, CSO, LD)
Entity type:Individual
Prefix:
First Name:HALEY
Middle Name:
Last Name:MCGAHA
Suffix:
Gender:F
Credentials:RDN, CSO, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:993 JOHNSON FERRY RD STE D250
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1646
Mailing Address - Country:US
Mailing Address - Phone:404-236-8036
Mailing Address - Fax:
Practice Address - Street 1:993 JOHNSON FERRY RD STE D250
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1646
Practice Address - Country:US
Practice Address - Phone:404-236-8036
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-28
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1301XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Oncology