| Dr Jack Hattaway, | |
|
7160 Moon Rd, Suit G, Columbus, GA 31909-1753 | |
| (229) 357-0781 | |
| Not Available |
| Full Name | Dr Jack Hattaway |
|---|---|
| Gender | Male |
| Speciality | Chiropractic |
| Experience | 13 Years |
| Location | 7160 Moon Rd, Columbus, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578985727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | CHIR009178 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| H And M Health Group Llc | 8224338702 | 4 |
| Provider Name | H & M Health Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1053733279 PECOS PAC ID: 8224338702 Enrollment ID: O20151207000401 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jack Hattaway, 7160 Moon Rd, Suit G, Columbus, GA 31909-1753 Ph: (229) 357-0781 | Dr Jack Hattaway, 7160 Moon Rd, Suit G, Columbus, GA 31909-1753 Ph: (229) 357-0781 |
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