Doctor Name: | MARTHA HAACK |
NPI Number: | 1053422840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN075216 |
Business Practice Address: | 690 Dallas Hwy Suite 104 Villa Rica, GA - 301801209 |
Business Phone Number: | 4047788440 |
Business Fax Number: | |
Mailing Address: | 690 Dallas Hwy, Suite 104 VILLA RICA |
State: | GA |
Postal Code: | 301801209 |
Phone Number: | 4047788440 |
Fax Number: | |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | RN075216 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |