Edmond Hattaway (NPI# 1386714319, PAC ID# 2365601382) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1386714319 |
| PAC ID by PECOS | 2365601382 |
| Professional Enrollment ID | I20120312000471 |
| Full Name | Edmond Hattaway |
| Address |
2080 Fairburn Rd Suite F1 Douglasville GA 30135-1064 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE |
| Graduation Year | 1988 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2080 Fairburn Rd, Suite F1, Douglasville, GA 30135-1064 |
| Street Address |
2080 FAIRBURN RD SUITE F1 |
| City | DOUGLASVILLE |
| State | GA |
| Zip | 30135-1064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher J Baggett | Chiropractic | 2080 Fairburn Rd, Suite F, Douglasville, GA 30135-1064 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Alvin F Cowans | Podiatry | Georgia Blue Foot and Ankle,llc | 3387 Hwy 5, Suite H, Douglasville, GA 30135 |
| Malissia F Hewett-mcneil | Chiropractic | 6942 Hwy 78 W, Douglasville, GA 30135 | |
| Kathryn Lewis Padgett | Chiropractic | 3680 Kings Hwy, Douglasville, GA 30135 | |
| Danielle Green-watson | Podiatry | Georgia Blue Foot and Ankle,llc | 3387 Hwy 5, Suite H, Douglasville, GA 30135 |
| Caroline C Anaele | Nurse Practitioner | 2121 Fairburn Rd B, Douglasville, GA 30135-1029 | |
| Dingane Baruti | Family Medicine | 2022 Fairburn Rd D, Douglasville, GA 30135-1062 | |
| Jaswant S Chaddha | Obstetrics/gynecology | Privia Medical Group of Georgia LLC | 2022 Fairburn Rd, Suite D, Douglasville, GA 30135-1062 |
| Latoya Katrese Buford | Nurse Practitioner | Privia Medical Group of Georgia LLC | 2022 Fairburn Rd, Suite D, Douglasville, GA 30135-1062 |
| Heather R Camp | Chiropractic | Heather Robinson Camp LLC/camp Chiropractic | 2080 Fairburn Rd F, Douglasville, GA 30135-1064 |
| Sanjay Lall | Cardiovascular Disease (cardiology) | Piedmont Cardiology of Atlanta, LLC | 2145 Slater Mill Rd, Douglasville, GA 30135-1205 |
| Find all physicians in zip 30135 | |||
| City | DOUGLASVILLE |
| Zip Code | 30135 |
| Specialty | CHIROPRACTIC |
| City + Specialty | DOUGLASVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Edmond Hattaway.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.