person
Dr. Edmond Earl Hattaway, DC
Chiropractor in Douglasville, Georgia
NPI 1386714319

Edmond Earl Hattaway is a Chiropractor based in Douglasville, GA. Edmond Earl Hattaway practices in Douglasville, GA and has the professional credentials of DC. The NPI Number for Edmond Earl Hattaway is 1386714319 and holds a License No. CHIR002812 (Georgia).

The current practice location address for Edmond Earl Hattaway is 2080 Fairburn Road, Douglasville, GA and can be reached out via phone at 770-489-0187 and via fax at 770-920-0364.

Location: 2080 Fairburn Road, Douglasville, GA, 30133-1171
person
Provider Profile Details
NPI Number
1386714319
Provider Name
Edmond Earl Hattaway
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
2080 Fairburn Road, Douglasville, GA, 30133-1171
Phone Number
770-489-0187
Fax Number
770-920-0364
Provider Enumeration Date
11/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
55001148A 05 GA
institution
Provider Business Practice Location Address Details
Address
2080 Fairburn Road
City
State
Zip
30135-1064
Phone Number
770-489-0187
Fax Number
770-920-0364
person
Provider Business Mailing Address Details
Address
2080 Fairburn Road
City
State
Zip
30135-1064
Phone Number
770-489-0187
Fax Number
770-920-0364
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
License No.
CHIR002812 (Georgia)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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