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NPI Code Detail

MEDICARE: PHILLIP D HAJEK MD

MEDICARE: PHILLIP D HAJEK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician35890GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
135890OTHERGALICENSE NUMBER

General Provider Information

NPI Number : 1003886136
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIP D HAJEK MD
Provider Business Mailing Address
First Line : PO BOX 71367
Second Line :
City : ALBANY
State : GA
Zip : 31708-1367
Country : US
Telephone Number : 229-435-0525
Fax Number :
Provider Business Practice Location Address
First Line : 2311 LAKE PARK DR
Second Line :
City : ALBANY
State : GA
Zip : 31707-3183
Country : US
Telephone Number : 229-435-0525
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2006
Last Update Date : 02/26/2015

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Directions to “ PHILLIP D HAJEK MD” Practice Location

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