Basic Information
Provider Information
NPI: 1871965582
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HECHT
FirstName: HAYLEY
MiddleName: S.
NamePrefix: MRS.
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 531 ROSELANE ST NW STE 710
Address2:  
City: MARIETTA
State: GA
PostalCode: 300606975
CountryCode: US
TelephoneNumber: 6783313297
FaxNumber: 6785817187
Practice Location
Address1: 340 KENNESTONE HOSPITAL BLVD STE 100
Address2:  
City: MARIETTA
State: GA
PostalCode: 300601158
CountryCode: US
TelephoneNumber: 7702815100
FaxNumber: 6785817100
Other Information
ProviderEnumerationDate: 10/21/2015
LastUpdateDate: 08/19/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/19/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000XRN212105GAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

ID Information
IDTypeStateIssuerDescription
187196558201GANPI NUMBEROTHER


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