Individual
JOSHUA KEITH HATTAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(912) 435-6965
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
82888
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/11/2017
Last updated
09/06/2022
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