Provider Demographics
NPI:1336587138
Name:HATTIER, BRITTANY FLOOD (DO)
Entity Type:Individual
Prefix:DR
First Name:BRITTANY
Middle Name:FLOOD
Last Name:HATTIER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:AMBER
Other - Last Name:FLOOD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:612 MAYWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:MI
Mailing Address - Zip Code:48162-3032
Mailing Address - Country:US
Mailing Address - Phone:704-929-9197
Mailing Address - Fax:
Practice Address - Street 1:100 CHRISTWOOD BLVD
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-4606
Practice Address - Country:US
Practice Address - Phone:985-256-5690
Practice Address - Fax:504-383-8943
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-13
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101020645207Q00000X
LA305806207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine