Individual
DR. BRANNAN HOWARD HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
745 POPLAR ROAD, NEWNAN, GA 32605-1618
(770) 400-1000
(404) 686-5701
Mailing address
745 POPLAR ROAD, NEWNAN, GA 30265-1618
(770) 400-1000
(404) 686-5701
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
041052
GA
2085R0202X
Diagnostic Radiology Physician
041052
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000868425M
—
GA
01
—
P01060225
RAILROAD MEDICARE
GA
Enumeration date
07/05/2006
Last updated
03/24/2016
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