MEDICARE: HALEY N GORHAM BSN, RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency
2	163WC0200X	Critical Care Medicine Registered Nurse	352800	NC

General Provider Information

NPI Number	:	1174378897
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALEY N GORHAM BSN, RN

Provider Business Mailing Address
First Line	:	878 W STAR ST
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-0844
Country	:	US
Telephone Number	:	252-531-6444
Fax Number	:

Provider Business Practice Location Address
First Line	:	878 W STAR ST
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-0844
Country	:	US
Telephone Number	:	252-531-9809
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2024
Last Update Date	:	04/17/2024

Similar Medicare Providers

1174494264 — DOC DROP RIDE INC
Practice Location Address:

878 W STAR ST
GREENVILLE, NC
27834-0844

Practice Phone: 347-342-7304
Practice Fax:

1568230902 — WILLIAM THOMAS GORHAM JR.
Practice Location Address:

878 W STAR ST
GREENVILLE, NC
27834-0844

Practice Phone: 252-417-6829
Practice Fax:

1336909605 — INFINITY FAMILY CARE LLC
Practice Location Address:

203 0LDWELL DRIVE
GREENVILLE, NC
27834

Practice Phone: 252-417-6829
Practice Fax: 252-298-5413

1164409595 — DR. ABHAY B. PATEL D.C.
Practice Location Address:

800 PELHAM RD
GREENVILLE, SC
29615-3300

Practice Phone: 864-234-5800
Practice Fax: 864-284-0844

1669432902 — NORTH HILLS MEDICAL CENTER
Practice Location Address:

800 PELHAM RD
GREENVILLE, SC
29615-3300

Practice Phone: 864-234-5800
Practice Fax: 864-284-0844

1093775397 — DR. MARIE ROSE BONABON M.D.
Practice Location Address:

309 W BUTLER RD
MAULDIN, SC
29662-2531

Practice Phone: 864-297-1575
Practice Fax: 864-284-0844

Directions to “ HALEY N GORHAM BSN, RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.