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General NPI Number Information
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NPI Number | 1467415257
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Entity Type | Organization
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Legal Business Name | WENDELL O HACKNEY MD & GREGORY A SMITH PC
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 315 BLVD NE STE 336
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City | ATLANTA
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State | GA
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Zip | 30312
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Country | US
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Telephone | 404-522-4888
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Fax | 404-581-0379
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Provider Business Mailing Address
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Address Line | 315 BLVD NE STE 336
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City | ATLANTA
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State | GA
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Zip | 30312
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Country | US
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Telephone | 404-522-4888
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Fax | 404-581-0379
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WENDELL OLIVER HACKNEY
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Credential | MD
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Telephone | 404-522-4888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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