Individual
ANTHONY DONALD HAASE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1224 TROTWOOD AVE, COLUMBIA, TN 38401
(931) 380-4072
(931) 490-7043
Mailing address
230 MASONIC DR, INDEPENDENCE, LA 70443
(985) 878-4174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
56948
TN
208000000X
Pediatrics Physician
Primary
56948
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3710089
—
TN
Enumeration date
07/31/2007
Last updated
08/06/2018
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