Healthcare Provider Details

I. General information

NPI: 1306885397
Provider Name (Legal Business Name): CARLA Y NEAL-HALEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 HIGHLANDS PKWY SE STE 250
SMYRNA GA
30082-5161
US

IV. Provider business mailing address

3200 HIGHLANDS PKWY SE STE 250
SMYRNA GA
30082-5161
US

V. Phone/Fax

Practice location:
  • Phone: 770-434-1904
  • Fax: 770-434-1304
Mailing address:
  • Phone: 770-434-1904
  • Fax: 770-434-1304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberGA043440
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberGA043440
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: