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NPI Code Detail

MEDICARE: DR. HILLARY A HAHM MD, PHD

MEDICARE: DR. HILLARY A HAHM MD, PHD
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
1207RH0003XHematology & Oncology Physician048051GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21801890280OTHERGANPI NUMBER
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801890280
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HILLARY A HAHM MD, PHD
Provider Business Mailing Address
First Line : 531 ROSELANE ST NW STE 710
Second Line :
City : MARIETTA
State : GA
Zip : 30060-6975
Country : US
Telephone Number : 678-331-3297
Fax Number : 678-581-7187
Provider Business Practice Location Address
First Line : 340 KENNESTONE HOSPITAL BLVD STE 100
Second Line :
City : MARIETTA
State : GA
Zip : 30060-1158
Country : US
Telephone Number : 770-281-5100
Fax Number : 678-581-7100
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2005
Last Update Date : 06/10/2019

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