Doctor Name: | DR. DAVID H. HAFNER |
NPI Number: | 1043203854 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 027822 |
Business Practice Address: | 61 Whitcher Street Ne Suite 2100 Marietta, GA - 300601179 |
Business Phone Number: | 7704230595 |
Business Fax Number: | 7708741614 |
Mailing Address: | 1505 Stonebridge Parkway, Suite 100 WOODSTOCK |
State: | GA |
Postal Code: | 301898282 |
Phone Number: | 7704230595 |
Fax Number: | 7708741614 |
NPI Enumeration Date: | 08/26/2005 |
NPI Last Update Date: | 04/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 027822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |