Hadaway, Joseph Sam

Hadaway, Joseph Sam is an individual health care provider with primary practice located at 4660 Riverside Park Blvd , Macon GA 31210-1395. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Hadaway, Joseph Sam can be contacted via phone (478) 474-0240.

Contact Information

Primary practice address
4660 Riverside Park Blvd Macon GA 31210-1395
Phone: (478) 474-0240
Fax: (478) 475-1340
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X AT001243 Georgia

Profile Details

NPI number 1013134816
LBN Legal business name Hadaway, Joseph Sam
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated Jul 8th, 2007 - about 19 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.

Request for update

Popular Providers