Hackney, Wendell Oliver

Hackney, Wendell Oliver is an individual health care provider with primary practice located at 7193 Jonesboro Rd Fl 1, Morrow GA 30260-2961. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Hackney, Wendell Oliver can be contacted via phone (404) 522-4888.

Contact Information

Primary practice address
7193 Jonesboro Rd Fl 1 Morrow GA 30260-2961
Phone: (404) 522-4888
Fax: (404) 581-0379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 024684 Georgia
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 024684 Georgia

Profile Details

NPI number 1770547101
LBN Legal business name Hackney, Wendell Oliver
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Mar 15th, 2016 - about 10 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 1770547101 NPPES
Other 476807 AETNA
MEDICAID 000258871 AETNA
Other 238229 AETNA

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