Individual
DR. BRADLEY DWAYNE HARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
80 INTERSTATE SOUTH DR STE B, JASPER, GA 30143
(706) 253-2430
Mailing address
2727 PACES FERRY RD SE STE 1-1100, ATLANTA, GA 30339-6151
(706) 253-2430
(706) 692-0155
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
072683
GA
Other
Enumeration date
01/20/2009
Last updated
08/20/2018
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