Individual
DR. ERIC JASON HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
22454 HWY 72 W, SUITE 200, ATHENS, AL 35613
(256) 233-2332
(256) 539-2666
Mailing address
927 FRANKLIN ST SE, HUNTSVILLE, AL 35801-4306
(256) 539-2728
(256) 539-2666
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DO649
AL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DO649
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051504448
BLUE CROSS BLUE SHIELD
AL
05
—
217524
—
AL
01
—
512-08975
BCBS
AL
Enumeration date
04/14/2006
Last updated
02/05/2024
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