Search › Georgia › 332BC3200X
Brian Hackett
NPI 1720233034 · on the registry since 2008 · sole proprietor
Practice
- Address
- 3425 Ashurst Dr
Valdosta, GA 31605 - Phone
- (229) 834-1034
- Fax
- (866) 493-9555
Registry record
- Primary taxonomy
- 332BC3200X
332BC3200X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-12-01
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