Individual
DR. CARL D HACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
1365 CLIFTON RD, BLDG B, STE B6200, ATLANTA, GA 30322
(314) 362-5000
Mailing address
660 S EUCLID AVE DEPT OF, SAINT LOUIS, MO 63110-1010
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
100483
GA
Other
Enumeration date
06/21/2017
Last updated
06/24/2024
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