| James Hattaway, MD | |
|
1950 Palmyra Rd, Albany, GA 31701-1575 | |
| (229) 883-1503 | |
| (229) 432-7583 |
| Full Name | James Hattaway |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Location | 1950 Palmyra Rd, Albany, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982699385 | NPI | - | NPPES |
| 00017212A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 010952 (Georgia) | Primary |
| Entity Name | Albany Urology Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043383623 PECOS PAC ID: 2365423647 Enrollment ID: O20040525000606 |
| Mailing Address | Practice Location Address |
|---|---|
| James Hattaway, MD 1950 Palmyra Rd, Albany, GA 31701-1575 Ph: (229) 883-1503 | James Hattaway, MD 1950 Palmyra Rd, Albany, GA 31701-1575 Ph: (229) 883-1503 |
Frank Eugene Glover Iii, Urology Medicare: Medicare Enrolled Practice Location: 4562 Lacosta Dr, Albany, GA 31721 Phone: 229-869-0722 | |
Dr. Michael Blair Monahan, D.O. Urology Medicare: Accepting Medicare Assignments Practice Location: 2400 Osler Ct, Albany, GA 31707 Phone: 229-449-1676 Fax: 229-432-7583 | |
Khaled Ajib, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2400 Osler Ct, Albany, GA 31707 Phone: 229-883-1503 | |
Stephen C Allen, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 425 W 3rd Ave, Suite 550, Albany, GA 31701 Phone: 229-432-8463 Fax: 229-432-8465 | |
Dr. William Kelvin Lane, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1950 Palmyra Rd, Albany, GA 31701 Phone: 229-883-1508 | |
Timothy Trulock, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1950 Palmyra Rd, Albany, GA 31701 Phone: 229-883-1503 Fax: 229-438-2815 | |
Dr. Rex O Ajayi, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 803 N Jackson St, Albany, GA 31701 Phone: 229-435-0832 Fax: 229-435-2857 |