NPI 1013775105

Emma Kaltheen Hazenberg

Practitioner Other Technician Augusta, GA

Practice location

Address: 1120 15th St, Augusta, GA 30912-0006
Phone: (706) 721-3186
Mailing address: 5097 Overlook Dr NE, Roswell, GA 30075-5460

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Georgia →

Registry record

NPI: 1013775105
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2024
Record last updated: 12 Mar 2024

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.