Hatfield, Jackson E

Hatfield, Jackson E is an individual health care provider with primary practice located at 2621 E Pinetree Blvd , Thomasville GA 31792-4840. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Hatfield, Jackson E can be contacted via phone (229) 584-4100.

Contact Information

Primary practice address
2621 E Pinetree Blvd Thomasville GA 31792-4840
Phone: (229) 584-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 076616 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD.205947 Louisiana

Profile Details

NPI number 1316238744
LBN Legal business name Hatfield, Jackson E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2011
Last updated Aug 3rd, 2020 - about 6 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

Identifiers

StateTypeNumberIssuer
All States NPI 1316238744 NPPES
Louisiana MEDICAID 2150405
Louisiana MEDICAID 04929309

Popular Providers