Hacena, Mokhtar

Hacena, Mokhtar is an individual health care provider with primary practice located at 2054 Watson Blvd , Warner Robins GA 31093-3634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Hacena, Mokhtar can be contacted via phone (478) 918-0770.

Contact Information

Primary practice address
2054 Watson Blvd Warner Robins GA 31093-3634
Phone: (478) 918-0770
Fax: (478) 918-0771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 055062 Georgia

Profile Details

NPI number 1861448110
LBN Legal business name Hacena, Mokhtar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jul 23rd, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861448110 NPPES
Georgia MEDICAID 257348755B
Georgia Other P00332224

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