Individual
DR. JOHN C HASTINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S ENOTA DR NE STE 380, GAINESVILLE, GA 30501-3475
(770) 219-7099
(770) 219-7923
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
057474
GA
2086S0129X
Vascular Surgery Physician
057474
GA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
057474
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886170982A
—
GA
Enumeration date
11/28/2005
Last updated
12/03/2020
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