Provider Demographics
NPI:1952898272
Name:HASTY, RONALD JR
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:
Last Name:HASTY
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7208B SKIDAWAY RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-4273
Mailing Address - Country:US
Mailing Address - Phone:912-712-3101
Mailing Address - Fax:912-335-8059
Practice Address - Street 1:7208B SKIDAWAY RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-4273
Practice Address - Country:US
Practice Address - Phone:912-712-3101
Practice Address - Fax:912-335-8059
Is Sole Proprietor?:No
Enumeration Date:2018-04-23
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR009780111NI0013X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractor
No111NI0013XChiropractic ProvidersChiropractorIndependent Medical ExaminerGroup - Single Specialty