Individual
MR. JEFFREY COLIN HACKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 243-2632
Mailing address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0001
(434) 243-2632
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024167862
VA
Other
Enumeration date
04/09/2008
Last updated
06/23/2008
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