Provider Demographics
NPI:1407012099
Name:HASKINS, JOSEPH MARTIN (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:MARTIN
Last Name:HASKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 GNOME TRL
Mailing Address - Street 2:
Mailing Address - City:LOOKOUT MTN
Mailing Address - State:GA
Mailing Address - Zip Code:30750-2836
Mailing Address - Country:US
Mailing Address - Phone:706-820-9732
Mailing Address - Fax:
Practice Address - Street 1:165 GNOME TRL
Practice Address - Street 2:
Practice Address - City:LOOKOUT MTN
Practice Address - State:GA
Practice Address - Zip Code:30750-2836
Practice Address - Country:US
Practice Address - Phone:706-820-9732
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-03
Last Update Date:2008-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA059659207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology