Individual
JOHN STEPHEN HASAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
301 TUNIS RD, MCDONOUGH, GA 30253-4204
(770) 954-9515
Mailing address
5109 HADDON PL, MCDONOUGH, GA 30253-6933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AT002057
GA
Other
Enumeration date
07/30/2012
Last updated
10/08/2015
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