Individual
MR. GARY LEE HATFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7950 MARTIN LOOP, FORT BENNING, GA 31905-5647
(706) 544-1442
(706) 544-1493
Mailing address
18334 GA HWY 85W, SHILOH, GA 31826-0112
(706) 544-9370
(706) 544-9405
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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