Individual
JOAN HADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD NE, STE 910, ATLANTA, GA 30342-1731
(404) 255-3822
Mailing address
5673 PEACHTREE DUNWOODY RD NE, STE 910, ATLANTA, GA 30342-1731
(404) 255-3822
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036536
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036536
STATE MEDICAL LICENSE
GA
01
—
203543680
MULTIPLAN
GA
01
—
4334942
AETNA
GA
01
—
52550573
BCBS Q CARE
GA
01
—
611747900
US DEPT OF LABOR WC
GA
01
—
904115
BCBS
GA
01
—
AH01
ENVOY SITE ID
GA
01
—
P00278109
RAILROAD MEDICARE
GA
01
—
P3660719
OXFORD
GA
Enumeration date
08/08/2006
Last updated
08/31/2020
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