Whalio Doctors

NPI 1275581076

Mark a Hackney, MD

Practitioner Diagnostic Radiology Physician Fairmont, WV

Practice location

Address
700 Village Dr, Fairmont, WV 26554-7985
Phone
(304) 366-2600
Fax
(304) 366-2080
Mailing address
PO Box 890707, Charlotte, NC 28289-0707

Registered specialties (5)

Diagnostic Radiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 20963 (WV)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence TP199 (KY)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 35.087295 (OH)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 01061747A (IN)
Diagnostic Radiology Physician
Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence 36114676 (IL)

Registry record

NPI
1275581076
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 May 2006
Record last updated
19 Jul 2007

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.