Individual
DR. PAUL M HAIDAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
105 LEDFORD MILL RD, SUITE B, TULLAHOMA, TN 37388-8261
(931) 841-3311
(931) 841-3314
Mailing address
105 LEDFORD MILL RD STE B, TULLAHOMA, TN 37388-8262
(931) 841-3311
(931) 841-3314
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
44645
TN
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
44645
TN
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
44645
TN
208D00000X
General Practice Physician
Primary
44645
TN
Other
Enumeration date
03/27/2007
Last updated
03/15/2024
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