Search › Georgia › 111N00000X
Edmond Hattaway, D.C
NPI 1386714319 · on the registry since 2006
Practice
- Address
- 2080 Fairburn Road
Suite F
Douglasville, GA 30135 - Phone
- (770) 489-0187
- Fax
- (770) 920-0364
- Organisation at this address
- Health For Life Chiropractic
Fairburn Road Chiropractic Clinic, Inc.
Heather Robinson Camp Llc/Camp ChiropracticInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia