Individual
DR. HADI H HATOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
(404) 350-0009
Mailing address
1412 MILSTEAD AVE NE, CONYERS, GA 30012-3877
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
88584
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME128391
FL
207RP1001X
Pulmonary Disease Physician
27267
NE
207RP1001X
Pulmonary Disease Physician
ME128391
FL
390200000X
Student in an Organized Health Care Education/Training Program
BP10038027
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017761200
—
FL
01
—
IQ258Y
MEDICARE
FL
Enumeration date
05/30/2008
Last updated
10/13/2021
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