MEDICARE: DR. JOSEPH MARTIN HASKINS M.D.

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
1	207L00000X	Anesthesiology Physician	059659	GA

General Provider Information

NPI Number	:	1407012099
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH MARTIN HASKINS M.D.

Provider Business Mailing Address
First Line	:	165 GNOME TRL
Second Line	:
City	:	LOOKOUT MTN
State	:	GA
Zip	:	30750-2836
Country	:	US
Telephone Number	:	706-820-9732
Fax Number	:

Provider Business Practice Location Address
First Line	:	165 GNOME TRL
Second Line	:
City	:	LOOKOUT MTN
State	:	GA
Zip	:	30750-2836
Country	:	US
Telephone Number	:	706-820-9732
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2008
Last Update Date	:	08/03/2008

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