Individual
DR. HARI PRABHAKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
304 INSPERON DR, GROVETOWN, GA 30813-0605
(706) 222-4559
(706) 400-6493
Mailing address
13748 CINNABAR PL, HUNTERSVILLE, NC 28078-5342
(706) 222-4559
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
274972
MA
208VP0014X
Interventional Pain Medicine Physician
Primary
S1493
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S1493
TX MEDICAL LICENSE
TX
Enumeration date
06/20/2014
Last updated
03/06/2024
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