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Organization

HATFIELD PHYSICIAN SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ERIC JASON HATFIELD D.O. (PRESIDENT)
(205) 487-3625
Entity
Organization

Contact information

Practice address
200 CARAWAY DR, SUITE 1, WINFIELD, AL 35594-5048
(205) 487-3625
(205) 487-7559
Mailing address
PO BOX 1857, WINFIELD, AL 35594-1419
(205) 487-3625
(205) 487-7559

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO-649
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05150448
BLUE CROSS BLUE SHIELD
AL
05
051550529
AL
Enumeration date
12/15/2006
Last updated
10/05/2011
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