Provider Demographics
NPI:1245627967
Name:HASTINGS, DONALD MADISON III (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:MADISON
Last Name:HASTINGS
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:236 CLEARFIELD AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1893
Mailing Address - Country:US
Mailing Address - Phone:757-853-1380
Mailing Address - Fax:
Practice Address - Street 1:236 CLEARFIELD AVE STE 215
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462
Practice Address - Country:US
Practice Address - Phone:757-853-1380
Practice Address - Fax:855-252-4450
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC20457207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine