Whalio Doctors

NPI 1013154632

Bradley Dwayne Hare, MD

Practitioner Surgery Physician Jasper, GA

Practice location

Address
80 Interstate South Dr STE B, Jasper, GA 30143
Phone
(706) 253-2430
Mailing address
2727 Paces Ferry Rd SE STE 1-1100, Atlanta, GA 30339-6151

Registered specialties

Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 072683 (GA)

Registry record

NPI
1013154632
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Jan 2009
Record last updated
20 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.