Individual
DR. JOSHUA LIDELLE HARE
Active
Individual
DR. JOSHUA LIDELLE HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
071791
GA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
071791
GA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
2663
TN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
2663
TN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
71791
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003147609A
—
GA
01
—
02045387
AMERIGROUP
GA
01
—
988220
WELLCARE
GA
01
—
P01363024
RR MEDICARE
GA
05
—
Q02347
—
TN
Enumeration date
05/05/2009
Last updated
02/23/2026
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