Healthcare Provider Details

I. General information

NPI: 1720982689
Provider Name (Legal Business Name): HAILEY MORGAN LYNCH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 PIEDMONT AVE NE UNIT 705
ATLANTA GA
30309-4157
US

IV. Provider business mailing address

1020 PIEDMONT AVE NE UNIT 705
ATLANTA GA
30309-4157
US

V. Phone/Fax

Practice location:
  • Phone: 678-938-5795
  • Fax:
Mailing address:
  • Phone: 678-938-5795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN328915
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: