Individual
DANA J HASELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
699 PRESIDENT PL, SMYRNA, TN 37167-8603
(615) 459-5252
Mailing address
699 PRESIDENT PL, SMYRNA, TN 37167-8603
(615) 459-5252
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
031920
TN
208000000X
Pediatrics Physician
C2960
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5440730
—
TN
Enumeration date
02/08/2006
Last updated
03/07/2025
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