Haithcock, Daniel B.

Haithcock, Daniel B. is an individual health care provider with primary practice located at 242 King Avenue Suite 210 , Athens GA 30606. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Haithcock, Daniel B. can be contacted via phone (706) 475-1700.

Contact Information

Primary practice address
242 King Avenue Suite 210 Athens GA 30606
Phone: (706) 475-1700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 200400346 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 061887 Georgia
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 061887 Zz

Profile Details

NPI number 1275635427
LBN Legal business name Haithcock, Daniel B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Mar 7th, 2023 - about 3 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 1275635427 NPPES
Georgia MEDICAID 931451901A

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