Search › Georgia › 111N00000X
Jack Hattaway
NPI 1578985727 · on the registry since 2014 · sole proprietor
Practice
- Address
- 7160 Moon Rd
Suit G
Columbus, GA 31909 - Phone
- (229) 357-0781
- Organisation at this address
- H & M Health Group Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
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
- 2014-01-10
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