DR. EDMOND EARL HATTAWAY (NPI# 1386714319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386714319 |
Entity Type | Individual |
Full Name | DR. EDMOND EARL HATTAWAY |
Credential | D.C. |
Practice Address |
2080 Fairburn Road Suite F Douglasville GA 30135-1064 |
Mailing Address |
Po Box 1171 Douglasville GA 30133-1171 |
Practice Telephone | 7704890187 |
Practice Fax Number | 7709200364 |
Mailing Telephone | 7704890187 |
Mailing Fax Number | 7709200364 |
Enumeration Date | 2006-11-08 |
Last Update Date | 2012-06-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111N00000X | Chiropractor | CHIR002812 | GA | Chiropractic Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 55001148A | 05 |
Street Address |
2080 FAIRBURN ROAD SUITE F |
City | DOUGLASVILLE |
State | GA |
Zip Code | 30135-1064 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265043301 | Heart & Soul Wellness Solutions LLC | Social Worker | 4752 Pepper Tree Lane, Douglasville, GA 30135 | 2020-08-12 |
1477176923 | R & J Health Care | Clinic/Center | 6853b Douglas Blvd Ste B, Douglasville, GA 30135 | 2020-05-19 |
1003479411 | The Sister Circle of Love and Empowerment LLC | Clinic/Center | 4706 Boyer Glen Dr., Douglasville, GA 30135 | 2019-04-22 |
1457825358 | Marcia Ann-marie Wilson | Nurse Practitioner | 4279 Caroline Court, Douglasville, GA 30135 | 2019-01-14 |
1225564917 | Danielle Doebereiner-brown | Nurse Practitioner | 3872 Ga-5, Douglasville, GA 30135 | 2017-05-02 |
1851832430 | Jennifer Williams | Physical Therapist | 4999 Presley Mill Rd, Douglasville, GA 30135 | 2017-03-15 |
1316484686 | Geneva Brent | Licensed Practical Nurse | 2109 Fairburn Road, Douglasville, GA 30135 | 2017-01-25 |
1659816288 | Stephanie Walthour | Marriage & Family Therapist | 3400 Chapel Hill Rd Ste 317, Douglasville, GA 30135 | 2017-01-05 |
1770932105 | Solutions 2 Wellness and Recovery,llc | Social Worker | 2256 Greenwood Meadows Lane, Douglasville, GA 30135 | 2016-06-07 |
1326408378 | Sr & L Transport Services, LLC | Non-emergency Medical Transport (VAN) | 4841 Black Bear Trail, Douglasville, GA 30135 | 2016-03-03 |
Find all providers in zip 30135 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174014930 | Caitlin Waldrip | Chiropractor | 8326a Office Park Dr., Douglasville, GA 30134 | 2018-05-28 |
1306204110 | Brandon Edward Hard | Chiropractor | 3680 Kings Hwy, Douglasville, GA 30135-3336 | 2016-02-08 |
1508041674 | Paul Garnsey | Chiropractor | 6351 Fairburn Rd, Douglasville, GA 30134-1965 | 2008-01-08 |
1790965093 | Douglasville Wellness and Chiropractic Center Inc | Chiropractor | 3677 Highway 5, Douglasville, GA 30135-6930 | 2007-11-05 |
1033319900 | Melissa Ann Grill-petersen | Chiropractor | 3281 Shakerley Park, Douglasville, GA 30135-3186 | 2007-07-19 |
1518090513 | Hewett-mcneil Family Chiropractic, PC | Chiropractor | 8303 B Office Park Dr, Douglasville, GA 30134 | 2007-03-13 |
1437292133 | Alan Jay Crumpler | Chiropractor | 8520 Hospital Dr, Douglasville, GA 30134-2413 | 2007-02-14 |
1235270976 | James Edward Quintas | Chiropractor | 8513 Hospital Dr Ste C, Douglasville, GA 30134-7509 | 2007-02-08 |
1205987799 | David Michael Lebhaft | Chiropractor | 6602 Church St, Douglasville, GA 30134-1808 | 2007-01-13 |
1033273065 | Christopher John Baggett | Chiropractor | 2080 Fairburn Rd, Suite F, Douglasville, GA 30135-1064 | 2006-12-21 |
Find all providers in DOUGLASVILLE |
City | DOUGLASVILLE |
Zip Code | 30135 |
Please comment or provide details below to improve the information on DR. EDMOND EARL HATTAWAY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.