Individual
JENNIFER SUE HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
300 E HOSPITAL ROAD, FORT EISENHOWER, GA 30905
(706) 787-2875
(706) 787-2326
Mailing address
3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 78234-4504
(210) 916-5910
(210) 916-2077
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
0102205455
VI
208D00000X
General Practice Physician
0102205455
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2017
Last updated
11/09/2023
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